Prognostic Value of Intraventricular Bleeding in Spontaneous Intraparenchymal Cerebral Hemorrhage of Small Volume: A Prospective Cohort Study

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dc.contributor.authorFortes Lima, Telmo Tiburcio
dc.contributor.authorPrandini, Mirto Nelso [UNIFESP]
dc.contributor.authorGallo, Pasquale
dc.contributor.authorCavalheiro, Sergio [UNIFESP]
dc.contributor.institutionGrp Hosp Conceicao
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:27:05Z
dc.date.available2016-01-24T14:27:05Z
dc.date.issued2012-04-01
dc.description.abstractBACKGROUND: the literature is controversial on whether intraventricular bleeding has a negative impact on the prognosis of spontaneous intracerebral hemorrhage. Nevertheless, an association between intraventricular bleeding and spontaneous intracerebral hemorrhage volumes has been consistently reported.OBJECTIVE: To evaluate the prognostic value of intraventricular bleeding in deep intraparenchymal hypertensive spontaneous hemorrhage with a bleeding volume < 30 cm(3).METHODS: of the 320 patients initially evaluated, 33 met the inclusion criteria and were enrolled in this prospective study. the volume of intraparenchymal hemorrhage was calculated by brain computed tomography (CT) image analysis, and the volume of intraventricular bleeding was calculated by the LeRoux scale. Clinical data, including neurological complications, were collected daily during hospitalization. Neurological outcome was evaluated 30 days after the event by using the Glasgow outcome scale. Patients were assigned to 1 of 3 groups according to intraventricular bleeding: Control, no intraventricular bleeding; LR 1, intraventricular bleeding with LeRoux scale scores of 1 to 8; or LR 2, intraventricular bleeding with LeRoux scale scores > 8.RESULTS: There were no significant differences among groups concerning age, mean blood pressure, and time from onset to brain CT scan. Patients with greater intraventricular bleeding presented lower initial Glasgow coma scale scores, increased ventricular index and width of temporal horns, increased number of clinical and neurological complications, and longer hospitalization. Furthermore, their relative risk for unfavorable clinical outcome was 1.9 (95% confidence interval 1.25-2.49).CONCLUSION: Intraventricular bleeding with a LeRoux scale score > 8 appears to have a negative effect on deep spontaneous intraparenchymal cerebral hemorrhage of small volume.en
dc.description.affiliationGrp Hosp Conceicao, Hosp Cristo Redentor, Porto Alegre, RS, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Hosp São Paulo, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Hosp São Paulo, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipHospital Cristo Redentor
dc.description.sponsorshipGrupo Hospitalar Conceicao (GHC)
dc.description.sponsorshipHospital São Paulo of Universidade Federal de São Paulo
dc.format.extent929-934
dc.identifierhttp://dx.doi.org/10.1227/NEU.0b013e31823bcc42
dc.identifier.citationNeurosurgery. Philadelphia: Lippincott Williams & Wilkins, v. 70, n. 4, p. 929-934, 2012.
dc.identifier.doi10.1227/NEU.0b013e31823bcc42
dc.identifier.issn0148-396X
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/34784
dc.identifier.wosWOS:000301934000054
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofNeurosurgery
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectCT scanen
dc.subjectHypertensiveen
dc.subjectIntracerebral hemorrhageen
dc.subjectPrognosisen
dc.subjectX-rayen
dc.titlePrognostic Value of Intraventricular Bleeding in Spontaneous Intraparenchymal Cerebral Hemorrhage of Small Volume: A Prospective Cohort Studyen
dc.typeinfo:eu-repo/semantics/article
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