Analysis of correlation between MSCT classification and prognosis of basal ganglia hypertensive intracerebral hemorrhage

Abstract

Objective: To investigate the correlation between MSCT grading and the prognosis of basal ganglia hypertensive intracerebral hemorrhage.

Methods: A total of 86 patients with basal ganglia hypertensive cerebral hemorrhage admitted to our hospital from May 2017 to March 2018 were selected. The clinical data and imaging data were collected from 86 patients. The MSCT images were observed and summarized by two radiologists. Based on the morphology of cisterna ambiens and brain stem, the correlation of MSCT grading to Glasgow Coma Scale (GCS) and Glasgow Outcome Scale (GOS) grading was analyzed by use of Spearman correlation analysis.

Results: Among 86 patients, the number of MSCT grade I, II, III and IV were 29 cases, 38 cases, 9 cases and 10 cases respectively. There was no significant correlation between MSCT grading and age, sex as well as types of combined underlying diseases in the patients with basal ganglia hypertensive intracerebral hemorrhage (p > .05). Spearman correlation analysis showed that there was a positive correlation between MSCT grading and GCS score of basal ganglia hypertensive intracerebral hemorrhage. The higher MSCT grade was, the higher GCS score was (r = .719, p < .001). There was a positive correlation between MSCT grading and GOS grading of basal ganglia hypertensive intracerebral hemorrhage. The higher MSCT grade was, the higher GOS grade was, leading to a poor prognosis (r = .734, p < .001). 86 cases of basal ganglia hypertensive intracerebral hemorrhage showed round or quasi-circular high-density shadows in MSCT images, the CT value ranged from 50 Hu to 80 Hu. Low-density bands surrounded the hematoma in the acute stage, and space-occupying effect could be seen in some patients, which resulted in the compression of ventricular sulcus and cistern and the displacement of midline structure. Subacute basal ganglia hypertensive intracerebral hemorrhage patients showed a relative decrease in the density of hematoma, with the extent of edema gradually reduced, the focus showed a high-density shadow in the center; chronic basal ganglia hypertensive intracerebral hemorrhage focus showed a cystic low-density shadow.

Conclusion: MSCT grading of basal ganglia hypertensive intracerebral hemorrhage is positively correlated to GCS and GOS grading. MSCT grading can contribute to the prognostic evaluation to the patients.