4.3 Article

Intracerebral hemorrhage with intraventricular extension and no hydrocephalus may not increase mortality or severe disability

Journal

JOURNAL OF CLINICAL NEUROSCIENCE
Volume 30, Issue -, Pages 56-59

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.jocn.2015.11.028

Keywords

Intracerebral hemorrhage; Intraventricular hemorrhage; Hydrocephalus; Outcome; Prognosis

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This paper aimed to test the hypothesis that intraventricular extension of spontaneous intracerebral hemorrhage (ICH) in the absence of hydrocephalus is not associated with increased mortality or severe disability. We performed a retrospective consecutive cohort study of patients with primary spontaneous ICH who were admitted to a single institution. Multivariate logistic regression analysis was used to assess the association of each variable with functional outcome as measured by the modified Rankin Scale (mRS). A total of 164 patients met our inclusion criteria and were included in the study. Only hydrocephalus (p = 0.002) and hematoma volume (p = 0.006) were significantly associated with mortality or poor functional outcome (mRS of 3 to 6). In contrast, the presence of intraventricular hematoma was not independently associated with poor functional outcome. The presence of intraventricular extension of ICH in the absence of hydrocephalus may not increase mortality or disability. (C) 2016 Elsevier Ltd. All rights reserved.

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