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Congress: ECR25
Poster Number: C-15228
Type: Poster: EPOS Radiologist (scientific)
Authorblock: M. D. C. Gonzalez Dominguez; Las Palmas de Gran Canaria/ES
Disclosures:
Maria Del Carmen Gonzalez Dominguez: Nothing to disclose
Keywords: Emergency, CT, Diagnostic procedure, Haemorrhage
Purpose To describe the acquisition protocol, the diagnostic criteria, and the utility of "spot sign" and "leakage sign" as predicting factors for intracerebral hemorrhage expansion.To assess the consequences and the impact on clinical factors such as neurologic impairment and in-hospital mortality.
Read more Methods and materials A prospective study was performed on 117 patients with spontaneous intracerebral hemorrhagic (ICH) stroke. These patients underwent non-enhanced computed tomography (NECT) and computed tomography angiogram (CTA), which were acquired in both arterial (35 seconds) and delayed (300 seconds) phases.The initial study obtained the hematoma volume, location (lobar or in basal ganglia), and attenuation values. We consider active bleeding the presence of a "spot sign" and/or "leakage sign". Spot sign was defined as a focal accumulation of contrast within the hematoma in the...
Read more Results Spot sign [OR: 4,27 (1,55-11,75)] and Leakage sign [OR: 4,80 (1,82-12,68)] were independently associated with hematoma volume expansion.We observed that 70% of patients with a negative Spot Sign did not exhibit volume expansion, compared to 58% of patients with a positive Spot Sign who did show volume expansion of more than 15%. On the right, similar results are seen for the predictor Leakage Sign, where up to 76% of patients with a negative Leakage Sign did not experience volume expansion....
Read more Conclusion Determining active bleeding signs in two phases improves the prediction of intraparenchymal hematoma volume expansion, neurologic impairment, and hospital deaths.
Read more References [1]      S.J. An, T.J. Kim, B.W. Yoon, Epidemiology, risk factors, and clinical features of intracerebral hemorrhage: An update, J Stroke 19 (2017) 3–10. https://doi.org/10.5853/jos.2016.00864.[2]      D. Rajashekar, J.W. Liang, Intracerebral Hemorrhage, StatPearls (2023). https://www.ncbi.nlm.nih.gov/books/NBK553103/ (accessed March 28, 2023).[3]      A. Jain, A. Malhotra, S. Payabvash, Imaging of Spontaneous Intracerebral Hemorrhage, Neuroimaging Clin N Am 31 (2021) 193–203. https://doi.org/10.1016/j.nic.2021.02.003.[4]      M.L. Flaherty, D. Woo, M. Haverbusch, P. Sekar, J. Khoury, L. Sauerbeck, C.J. Moomaw, A. Schneider, B. Kissela, D. Kleindorfer, J.P. Broderick, Racial variations...
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