Prognostic Factors of Clinical Outcomes in Patients with Spontaneous Thalamic Hemorrhage

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
Sang-Hoon LeeDong-Hyuk Park

Abstract

Intracerebral hemorrhage (ICH) is a well-known condition, but ICH restricted to the thalamus is less widely studied. We investigated the prognostic factors of thalamic ICHs. Seventy patients from January 2009 to November 2014 were retrospectively reviewed. Patients who demonstrated spontaneous ICH primarily affecting the thalamus on initial brain computed tomography (CT) were enrolled. Patients were categorized into 2 groups based on their Glasgow Outcome Scale (GOS) scores. Various presumptive prognostic factors were analyzed to investigate relationships between various clinical characteristics and outcomes. Of the enrolled patients, 39 showed a GOS of 4-5, and were categorized as the good outcome group, while another 31 patients showed a GOS of 1-3 and were categorized as the poor outcome group. Initial GCS score, calculated volume of hematoma, presence of intraventricular hemorrhage (IVH), coexisting complications, hydrocephalus, performance of external ventricular drainage, and modified Graeb's scores of patients with IVH were significantly different between the 2 groups. In multivariate analysis, among the factors above, initial GCS score (P=0.002, Odds ratio [OR]=1.761, Confidence interval [CI]=1.223-2.536) and the existe...Continue Reading

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Citations

Nov 17, 2015·Clinica Chimica Acta; International Journal of Clinical Chemistry·Shui-Jun GuJian-Qing Miao
Apr 9, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Mangmang XuMing Liu
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May 18, 2021·International Journal of Surgery Case Reports·Andrius RadziunasSteven Falowski
May 18, 2018·World Neurosurgery·Brandon L NeisewanderAnkit I Mehta

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