Correlation between spot sign on dual-energy CT angiography and risk of hematoma enlargement in patients with hypertensive intracerebral hemorrhage

Journal Title: Chinese Journal of Clinical Research - Year 2024, Vol 37, Issue 7

Abstract

"<b>Objective</b> To investigate the correlation between spot sign (SS) on energy computed tomography angiography (CTA) and the risk of hematoma enlargement (HE) in patients with hypertensive intracerebral hemorrhage (HICH). <b>Methods</b> A total of 115 patients with HICH admitted to Luzhou People's Hospital from January 2019 to September 2022 were included. All patients received conventional treatment for intracerebral hemorrhage, and during hospitalization, they were divided into enlarged group and non-enlarged group according to whether HE occurred. Demographic data, clinical characteristics, and laboratory examination data were analyzed, and multivariate logistic regression analysis was used to identify the factors associated with HE. <b>Results</b> Among the 115 patients with HICH, 41 had HE as the enlarged group, while 74 did not have HE as the non-enlarged group. Univariate analysis showed that there was no significant difference in general information between the two groups (P>0.05); CTA SS score was higher in the enlarged group than that in the non-enlarged group, and the proportion of SS occurring in mixed arterial phase and delayed fusion phase, as well as irregular hematoma shape, was higher than those in the non-enlarged group. The volume of hematoma on initial CT was larger in the enlarged group than that in the non-enlarged group (P<0.05). Multivariate logistic regression analysis showed that SS score (OR=23.703, 95%CI: 1.336-420.556), hematoma volume (OR=1.618, 95%CI: 1.090-2.399), occurrence of SS in mixed arterial phase (OR=2.198, 95%CI: 1.164-4.152), and delayed fusion phase (OR=2.553, 95%CI: 1.363-4.781) were independent risk factors for HE (P<0.05). <b>Conclusion</b> The volume of hematoma on initial CT, CTA SS score, and occurrence of SS in mixed arterial phase and delayed fusion phase are related to the occurrence of HE in patients with HICH."

Authors and Affiliations

KANG Houle*, XIE Jian, XIAO Xuelu, DENG Hongyuan, HUANG Xueping

Keywords

Related Articles

Research progress on the mechanism of non-alcoholic fatty liver disease caused by hepatic insulin resistance

Non-alcoholic fatty liver disease (NAFLD) refers to a clinicopathological syndrome characterized by macrovesicular steatosis and lipid accumulation of hepatocytes, except for alcohol and other specific factors associated...

Bronchoscopic lavage-assisted treatment of Mycoplasma pneumonia in children:a Meta-analysis of randomized controlled trials

"Objective To systematically evaluate the clinical efficacy of bronchoscopic lavage-assisted treatment of Mycoplasma pneumonia (MP) in children, providing references for clinical treatment. Methods China National Knowl...

Diagnostic value of plasma chromogranin A levels for pheochromocytoma

"<b>Objective</b> To investigate the role of plasma chromogranin A (CgA) and free metanephrines (MNs) levels in the diagnosis of pheochromocytoma (PHEO). <b>Methods</b> The clinical data of 26 patients with PHEO (PHE...

Research progress on mitochondrial mechanisms of sensitivity to inhalational anesthetics

Experimental animals and people have different sensitivity to inhalational anesthetics, which is related to the depth of anesthesia during general anesthesia and the perioperative safety of patients. Studying the mechani...

Exploration on the treatment of gastroesophageal reflux disease by clearing heat and descending the adverse flow of Qi based on “all acid eructation is ascribed to heat”

“All acid eructation is ascribed to heat” is one of the Nineteen items of pathogenesis in the Inner Canon of Yellow Emperor (Huangdi Neijing). This theory underscores the close connection between symptoms such as vomitin...

Download PDF file
  • EP ID EP740732
  • DOI 10.13429/j.cnki.cjcr.2024.07.019
  • Views 31
  • Downloads 1

How To Cite

KANG Houle<sup>*</sup>, XIE Jian, XIAO Xuelu, DENG Hongyuan, HUANG Xueping (2024). Correlation between spot sign on dual-energy CT angiography and risk of hematoma enlargement in patients with hypertensive intracerebral hemorrhage. Chinese Journal of Clinical Research, 37(7), -. https://europub.co.uk/articles/-A-740732