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. 1987 Aug;50(8):976–979. doi: 10.1136/jnnp.50.8.976

Intracerebral haemorrhage: a model for the prediction of outcome.

R K Portenoy 1, R B Lipton 1, A R Berger 1, M L Lesser 1, G Lantos 1
PMCID: PMC1032224  PMID: 3655832

Abstract

The hospital charts and CT scans of 112 patients with spontaneous supratentorial haemorrhage were retrospectively reviewed to evaluate factors important to prognosis. A low Glasgow Coma Scale score, coma, ataxic respiration, abnormal pupils, acute hypertension, large haemorrhage size and intraventricular extension of blood were associated with a poor outcome. Multivariate analysis using the technique of logistic regression identified three variables, the Glasgow Coma Scale score, haemorrhage size and intraventricular extension of blood, which were most predictive of outcome. A model was developed from this analysis which accurately estimates the probability of good outcome and the risk of poor outcome based on data available on presentation. With additional validation, this model may be useful in choosing patients for surgical evacuation of haematomas.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barraquer-Bordas L., Illa I., Escartin A., Ruscalleda J., Marti-Vilalta J. L. Thalamic hemorrhage. A study of 23 patients with diagnosis by computed tomography. Stroke. 1981 Jul-Aug;12(4):524–527. doi: 10.1161/01.str.12.4.524. [DOI] [PubMed] [Google Scholar]
  2. Bolander H. G., Kourtopoulos H., Liliequist B., Wittboldt S. Treatment of spontaneous intracerebral haemorrhage. A retrospective analysis of 74 consecutive cases with special reference to computertomographic data. Acta Neurochir (Wien) 1983;67(1-2):19–28. doi: 10.1007/BF01401664. [DOI] [PubMed] [Google Scholar]
  3. Douglas M. A., Haerer A. F. Long-term prognosis of hypertensive intracerebral hemorrhage. Stroke. 1982 Jul-Aug;13(4):488–491. doi: 10.1161/01.str.13.4.488. [DOI] [PubMed] [Google Scholar]
  4. Gårde A., Böhmer G., Seldén B., Neiman J. 100 cases of spontaneous intracerebral haematoma. Diagnosis, treatment and prognosis. Eur Neurol. 1983;22(3):161–172. doi: 10.1159/000115555. [DOI] [PubMed] [Google Scholar]
  5. Helweg-Larsen S., Sommer W., Strange P., Lester J., Boysen G. Prognosis for patients treated conservatively for spontaneous intracerebral hematomas. Stroke. 1984 Nov-Dec;15(6):1045–1048. doi: 10.1161/01.str.15.6.1045. [DOI] [PubMed] [Google Scholar]
  6. Kwak R., Kadoya S., Suzuki T. Factors affecting the prognosis in thalamic hemorrhage. Stroke. 1983 Jul-Aug;14(4):493–500. doi: 10.1161/01.str.14.4.493. [DOI] [PubMed] [Google Scholar]
  7. Masdeu J. C., Rubino F. A. Management of lobar intracerebral hemorrhage: medical or surgical. Neurology. 1984 Mar;34(3):381–383. doi: 10.1212/wnl.34.3.381. [DOI] [PubMed] [Google Scholar]
  8. Paillas J. E., Alliez B. Surgical treatment of spontaneous intracerebral hemorrhage. Immediate and long-term results in 250 cases. J Neurosurg. 1973 Aug;39(2):145–151. doi: 10.3171/jns.1973.39.2.0145. [DOI] [PubMed] [Google Scholar]
  9. Pertuiset B., Sichez J. P., Yacoubi A., Gardeur D., Melon E., Haddad K. Quatre-vingt-seize cas d'hémorragie cérébrale médicale spontanée. Expérience diagnostique et thérapeutique. Rev Neurol (Paris) 1983;139(5):359–366. [PubMed] [Google Scholar]
  10. Ropper A. H., Davis K. R. Lobar cerebral hemorrhages: acute clinical syndromes in 26 cases. Ann Neurol. 1980 Aug;8(2):141–147. doi: 10.1002/ana.410080203. [DOI] [PubMed] [Google Scholar]
  11. Steiner I., Gomori J. M., Melamed E. The prognostic value of the CT scan in conservatively treated patients with intracerebral hematoma. Stroke. 1984 Mar-Apr;15(2):279–282. doi: 10.1161/01.str.15.2.279. [DOI] [PubMed] [Google Scholar]
  12. Volpin L., Cervellini P., Colombo F., Zanusso M., Benedetti A. Spontaneous intracerebral hematomas: a new proposal about the usefulness and limits of surgical treatment. Neurosurgery. 1984 Nov;15(5):663–666. doi: 10.1227/00006123-198411000-00004. [DOI] [PubMed] [Google Scholar]
  13. Waga S., Yamamoto Y. Hypertensive putaminal hemorrhage: treatment and results. Is surgical treatment superior to conservative one? Stroke. 1983 Jul-Aug;14(4):480–485. doi: 10.1161/01.str.14.4.480. [DOI] [PubMed] [Google Scholar]
  14. Weisberg L. A. Computerized tomography in intracranial hemorrhage. Arch Neurol. 1979 Jul;36(7):422–426. doi: 10.1001/archneur.1979.00500430052007. [DOI] [PubMed] [Google Scholar]
  15. Wiggins W. S., Moody D. M., Toole J. F., Laster D. W., Ball M. R. Clinical and computerized tomographic study of hypertensive intracerebral hemorrhage. Arch Neurol. 1978 Dec;35(12):832–833. doi: 10.1001/archneur.1978.00500360056011. [DOI] [PubMed] [Google Scholar]
  16. de Weerd A. W. The prognosis of intraventricular hemorrhage. J Neurol. 1979;222(1):46–51. doi: 10.1007/BF00313266. [DOI] [PubMed] [Google Scholar]

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