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Computed tomographic findings in non-traumatic hemorrhagic stroke

Pipat Chiewvit1, Nasuda Danchaivijitr, Yongchai Nilanont

  • 1Department of Radiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. siscv@mahidol.ac.th

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|March 6, 2009
PubMed

Insights

Computed tomography (CT) imaging aids in the early identification of hemorrhagic stroke patients. Key predictors of early mortality include large hematoma volume and intraventricular hemorrhage extension.

Area of Science:

  • Neurology
  • Radiology
  • Medical Imaging

Background:

  • Hemorrhagic stroke is a significant cause of mortality and morbidity.
  • Early and accurate diagnosis is crucial for patient management and outcome prediction.

Purpose of the Study:

  • To analyze computed tomography (CT) findings in hemorrhagic stroke patients.
  • To correlate CT findings with clinical outcomes.
  • To assess interobserver agreement in identifying hemorrhagic stroke on CT.

Main Methods:

  • Retrospective analysis of 131 hemorrhagic stroke cases from Jan 2004 to Dec 2005.
  • Collected and verified CT imaging features and clinical data.
  • Calculated percentages, predictive values, and kappa statistics for interobserver agreement.

Main Results:

  • Intracerebral hemorrhage was the most common type, frequently occurring in the thalamus and basal ganglia.
  • Hematoma volume > 60 cm³ and intraventricular hemorrhage extension were significant predictors of early mortality (p < 0.05).
  • Interobserver agreement for CT interpretation of hemorrhagic stroke type and location was very good (Kappa = 0.861 and 0.866, respectively).

Conclusions:

  • CT imaging is effective for early identification of hemorrhagic stroke.
  • CT provides crucial imaging evidence for predicting high mortality risk in these patients.
Abstract

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