CT angiography spot sign in intracerebral hemorrhage predicts active bleeding during surgery.

ABSTRACT:

Objective

To determine whether the CT angiography (CTA) spot sign marks bleeding complications during and after surgery for spontaneous intracerebral hemorrhage (ICH).

Methods

In a 2-center study of consecutive spontaneous ICH patients who underwent CTA followed by surgical hematoma evacuation, 2 experienced readers (blinded to clinical and surgical data) reviewed CTAs for spot sign presence. Blinded raters assessed active intraoperative and postoperative bleeding. The association between spot sign and active intraoperative bleeding, postoperative rebleeding, and residual ICH volumes was evaluated using univariable and multivariable logistic regression.

Results

A total of 95 patients met inclusion criteria: 44 lobar, 17 deep, 33 cerebellar, and 1 brainstem ICH; ≥1 spo

SUBMITTER: Brouwers HB 

PROVIDER: S-EPMC4153853 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature