J Korean Neurosurg Soc.  1992 Jan;21(1):42-48.

The Correlations between the Hematoma Volume and the Changes of ICP, Blood Pressure & Prognosis in the Spontaneous Intraparenchymal Hemorrhage

Affiliations
  • 1Department of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.

Abstract

The development of CT scan and stereotaxic surgery with urokinase irrigation made possible early diagnosis and improved survival in the patients of spontaneous intraparenchymal hemorrhage. We had clinically reviewed and analyzed 30 patients of stereotactically treated spontaneous intraparenchymal hemorrhage, according to the hematoma volume, ICP, wital signs, GCS and prognosis. The results were summarized as follows: 1) As the hematoma volume increasing, ICP was also increased(p<0.05). 2) The systolic arterial pressure was increased as the hematoma volume increasing(p<0.05). 3) Mean ADL was 55(26% and ADL level were decreased in cases of large hematoma(p<0.05). 4) As the hematoma volume increasing, the level of verbal GCS and total GCS was low(p<0.1). 5) No significant correlation was noted between the hematoma volume and complications(T test).

Keyword

Spontaneous intracerebral hematoma; Intracranial pressure; ADL; GCS

MeSH Terms

Activities of Daily Living
Arterial Pressure
Blood Pressure*
Early Diagnosis
Hematoma*
Hemorrhage*
Humans
Intracranial Pressure
Prognosis*
Tomography, X-Ray Computed
Urokinase-Type Plasminogen Activator
Urokinase-Type Plasminogen Activator
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