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[Neurogenic gastrointestinal hemorrhage in hypertensive cerebral hemorrhage]
Insights
This study links CT scan findings to neurogenic gastrointestinal bleeding in hypertensive intracerebral hemorrhage patients. Key indicators for this complication include disturbed consciousness and larger hematoma size.
Area of Science:
- Neurology
- Gastroenterology
- Radiology
Background:
- Hypertensive intracerebral hemorrhage is a serious condition.
- Neurogenic gastrointestinal bleeding is a potential complication.
Purpose of the Study:
- To determine the correlation between CT scan findings and neurogenic gastrointestinal bleeding in patients with hypertensive intracerebral hemorrhage.
- To identify predictive factors for gastrointestinal bleeding in this patient population.
Main Methods:
- Retrospective analysis of 50 patients with hypertensive intracerebral hemorrhage.
- Correlation of CT scan findings with the occurrence of macroscopic gastrointestinal bleeding.
Main Results:
- 54% of patients experienced macroscopic gastrointestinal bleeding.
- Bleeding occurred more frequently in expired patients (77%) versus survived patients (46%).
- Neurogenic GI-bleeding was associated with disturbed consciousness, hematoma volume (>60g), ventricular hemorrhage, right-sided hematomas, midbrain extension, and recurrent hemorrhage.
Conclusions:
- CT scan findings can help predict the risk of neurogenic gastrointestinal bleeding in hypertensive intracerebral hemorrhage.
- Early identification of at-risk patients can potentially improve outcomes.
Abstract:
The purpose of this paper is to obtain the correlation between CT scan findings and neurogenic gastrointestinal bleeding in hypertensive intracerebral hemorrhage. Fifty patients with hypertensive intracerebral hemorrhage were operated upon during past nearly 3 years in our clinic. Of these, 27 patients (54%) showed macroscopic gastrointestinal bleeding (GI-bleeding) demonstrated by stomach catheter after the onset of hypertensive intracerebral hemorrhage. GI-bleeding was about 46% in the survived patients and about 77% in the expired ones. Most patients revealed neurogenic GI-bleeding within 9 days (85.2%) and more than half of the cases (51.9%) in 4 to 6 days after the onset. Neurogenic GI-bleeding was frequently complicated in patients with disturbed consciousness, over 60 gram hematoma (particularly 60-80 gram hematomas), severe ventricular hemorrhage and right-sided hematomas. It was also exclusively observed in patients with extension of hemorrhage into the midbrain and recurring hypertensive intracerebral hemorrhage.