CLINICAL AND NEUROIMAGING STUDIES IN PATIENTS WITH ACUTE SPONTANEOUS INTRACEREBRAL HEMORRHAGE.
Journal Title: Journal of IMAB - Annual Proceeding (Scientific Papers) - Year 2014, Vol 20, Issue 2
Abstract
Objective: To define the prognostic value of clinical and neuroimaging parameters on the 30-th day mortality and clinical outcome after spontaneous intracerebral hemorrhage (sICH). Materials and methods: we examined 88 patients with sICH admitted to Neurology Clinic, UMHAT Pleven within 48 hours after clinical symptoms onset. Glasgow Coma Scale (GCS) score was used to assess the primary stroke severity; neurological deficit on admission was assessed by National Institute of Health Stroke Scale (NIHSS); clinical outcome at discharge was evaluated by modified Rankin Scale (mRS) and by Glasgow Outcome Scale (GOS) on the 30-th day after sICH onset. Hematoma volume was measured by the formula of Kothari: AxBxC/2 in ml. The statistical analysis was performed by SPSS 19.0 and Statgraphics plus 4.1 for Windows. Results: Initial assessment of primary stroke severity and neurological deficit by GCS и NIHSS, hematoma localization and volume were found strongly correlated with the clinical outcome on the 30-th day after the sICH onset. Age and vascular risk factors did not correlate with the clinical outcome. Male patients had better survival on the 30-th day compared with the female ones. Discussion: Neurological deficit on admission, hematoma localization and volume were found reliable predictors of the 30-th day clinical outcome that could serve for early stratification of patients and optimal choice of therapeutic approach.
Authors and Affiliations
Maya Danovska, Margarita Alexandrova, Nachko Totsev, Irena Gencheva, Plamen Stoev
Keywords
Related Articles
- EP ID EP121114
- DOI 10.5272/jimab.2014202.489
- Views 97
- Downloads 0
LOW ENERGY LASERS IN THE MANAGEMENT OF TRAUMATIC ULCERS IN ORAL MUCOSA – METHODS OF APPLICATION
Introduction: Traumatic ulcers in the oral mucosa are extremely painful and can cause severe troubles in talking and eating. Their treatment can be quite prolonged. The present paper aimed at exploring the therapeutic po...
STUDYING THE POSSIBILITIES OF THE INFRARED LASER WITH (λ)904 FOR TREATMENT OF BONE RESORPTION OF DENTAL IMPLANTS IN PROCESS OF OSSEOINTEGRATION.
The objective of this study is to establish the possibilities of the infrared laser with (λ) 904 for treatment of bone resorptionof bone implants in the process of osseointegration. Material and methods: The osseoi...
EPSTEIN-BARR VIRUS AND CYTOMEGALOVIRUS – TWO HERPES VIRUSES WITH ORAL MANIFESTATIONS
Diseases caused by cytomegalovirus and Epstein-Barr virus are reported with increasing frequency. Epstein-Barr virus damages usually are due to reactivation of latent infection. while cytomegalovirus disease result fr...
REDUCTION OF MOBILITY OF PERIODONTALY AFFECTED TEETH AFTER GINGIVAL AUGMENTATION WITH AN AUTOGENOUS GINGIVAL GRAFT (Case Report).
INTRODUCTION: The most severe complication of advanced periodontal lesions is the loss of teeth due to terminal attachment loss and high grade mobility. The goals of the treatment are the improving the plaque control sta...
FOOD ALLERGY AND ORAL ALLERGY SYNDROME. Part I. A review.
Food allergy and intolerance are wide spread nowadays. However, the problem existed and was registered and described still by the ancients. It was fully understood and scientifically depicted in the 20th century after Ig...