Authors : Ghaffar Shokouhi , Mehdi Farhoudi , Aimaz Afrough and Amir Hamdi
Abstract: Spontaneous Intracerebral Hemorrhage (SICH) is associated with the highest mortality of all cerebrovascular events and most survivors never regain functional independence. This study was to determine potential predictors of good outcome in SICH which could be useful for selecting patients for surgical procedures. Fifty four patients with spontaneous hemispheric ICH were nonsurgically treated and were admitted consecutively to the neurology service. Hematoma volume was measured on Computed Tomography (CT) at admission. Stroke severity was assessed by the Glasgow Consciousness Scale (GCS). Good outcome was defined as Glasgow Outcome Scale (GOS) 3-5 at 30 days. At the end of the follow up period, 25 patients (46.3%) had good outcome. GCS, papillary reaction abnormalities and hemiparesis were significantly associated with good outcome in bivariate analyses. Of the initial CT scan variables, larger volume of the ICH, larger volume of peripheral hypodensity, intraventricular spread of bleeding and mass effect were related to poor outcome. On multiple logistic regression analysis, GCS (p = 0.001) and ventricular extension (p = 0.004) were independent predictors of good outcome. These 2 factors correctly classified 85.2% of patients. Good outcome in SICH can be predicted on admission by 2 readily assessable factors (GCS score and ventricular extension). These predictors may be helpful in selecting patients for surgical treatment.
Ghaffar Shokouhi , Mehdi Farhoudi , Aimaz Afrough and Amir Hamdi , 2009. Prediction of Spontaneous Intracerebral Hemorrhages Outcome. Research Journal of Biological Sciences, 4: 7-10.