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Spontaneous intracerebral hemorrhage, initial computed tomography (CT) scan findings, clinical manifestations and

Mahshid Bahrami1, Majid Keyhanifard2,3,4, Mahdieh Afzali5

  • 1Department of Radiology, Isfahan University of Medical Sciences Isfahan, Iran.

American Journal of Nuclear Medicine and Molecular Imaging
|July 25, 2022
PubMed

Insights

Intracerebral hemorrhage, a type of stroke, is often linked to hypertension and anticoagulant use. This study found putamen hemorrhages common in hypertensive patients, while lobar hemorrhages were more frequent with anticoagulant use.

Area of Science:

  • Neurology
  • Radiology
  • Epidemiology

Background:

  • Intracerebral hemorrhage (ICH) is a severe type of stroke with significant morbidity and mortality.
  • Identifying risk factors and common presentations is crucial for timely diagnosis and management.

Purpose of the Study:

  • To evaluate initial computed tomography (CT) scan findings in patients with ICH.
  • To analyze clinical manifestations and identify potential risk factors associated with ICH.

Main Methods:

  • A cross-sectional study involving 900 patients diagnosed with ICH between 2015 and 2022.
  • Data collected included patient demographics, clinical symptoms, CT scan findings (hemorrhage location), and medical history (hypertension, anticoagulant use).

Main Results:

  • Lobar hemorrhage was the most frequent site (36%), followed by putamen (32.7%) and thalamus (15%).
  • Hypertension was prevalent (60.3%) and significantly associated with putamen hemorrhages (P<0.001).
  • Anticoagulant use (9%) was linked to a higher incidence of lobar hemorrhages (P=0.033). Decreased consciousness was the most common symptom (47.5%).

Conclusions:

  • Initial CT findings in ICH reveal common locations like lobar and putamen.
  • Hypertension is a key risk factor for putamen hemorrhages, while anticoagulant use is associated with lobar hemorrhages.
  • Clinical presentation, particularly decreased consciousness, correlates with specific hemorrhage locations.

Keywords:
CT scanStrokeintracerebral hemorrhagerisk factor

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