الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Several radiological features such as hematoma volume are related to poor outcome following an intracerebral hemorrhage and can be measured by transcranial sonography. Aim of work: We sought to determine the prognostic and the diagnostic value oftranscranial sonography in patients with intracerebral hemorrhage. Patients and methods:A prospective study was conducted on 30 patients with spontaneous intra cerebral hemorrhage. The patients went through comprehensive clinical examination and laboratory evaluation . A single CT brain was done upon admission and Transcranialsonography (TCS) was performed within 24 hours of baseline CT., Hematoma volume (V) measured according to the formula, V= longitudinal {u00D7} sagittal {u00D7} coronal/2 .We compared the TCS data with the CT scan.We assessed earlyneurologic deterioration during hospitalization through different clinical scales Result:We found excellent reliability and high significant correlation between TCS and CT hematoma measurement (r= . 0.930, P < .0001). For longitudinal and sagittal diameters, a high significant correlation was found (r= 0.715, P < .0001; r= 0.653, P < .0001 and r= 0.389). Coronal diameter shows good positive correlation ( r=0.389, P= 0.034). Nevertheless, in terms of reliability, TCS showed good, moderate, and poor reliability in the assessment of longitudinal, transverse, and coronal diameters respectively. National institute of health stroke scale (NIHSS) at admission and on follow up and intracerebral hemorrhage (ICH) score showed significant positive correlation with hematoma size measured by TCS and CT while inverse correlation was found with follow up Glasgow coma scale( GCS). |