M. Danovska 1, B Stamenov 1, T. Andreev 2, P. Stoev 1, M. Valkova 1, P. Stefanovski 3
1 Neurology Clinic, 2 Neuroimaging Department,
3 Emergency Department, Umhat Georgi Stranski – Pleven, Bulgaria

Objective: To assess the prognostic value of some clinical, ultrasound and neuroradiological parameters on the 30-th day clinical outcome of patients with acute spontaneous intracerebral hemorrhage (sICH).

Material and Methods: We examined 88 patients with sICH admitted to the Neurology clinic of UMHAT “Dr Georgi Stranski”, Pleven within 48 hours after the symptoms onset. The neurological deficit was assessed by the Glasgow Coma Scale (GCS) and National Institute of Health Stroke Scale (NIHSS) on admission. Clinical outcome on the 30-th day of sICH was evaluated by the Glasgow Outcome Scale (GOS) and modified Rankin Scale (mRS). Hemorrhage volume was measured on computed tomography (CT) by a simplified formula for the volume of an ellipsoid, (AxBxC)/2. All the patients underwent ultrasound examination of the carotid arteries.The statistical analysis was performed with the Statistical Package for Social Sciences version 19.0 (SPSS) and Statgraphics plus 4.1 for Windows.

Results: We found that neurological deficit assessed on admission by GCS and NIHSS, hematoma volume and location are significantly correlated with the clinical outcome on the 30-th day of the sICH onset. Age, vascular risk factors and ultrasound parameters were not significant factors for the clinical outcome. Male patients had better outcome on the 30-th day as compared with the female ones.

Discussion: GCS and NIHSS scores on admission, hematoma volume and location are reliable predictors of clinical outcome on the 30-th day of the sICH that could be used for patient stratification and optimization of the individual therapeutic approach.

Key words: neuroimaging, outcome, sich.

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