Value of midline shift found by CT to prediction of prognoses in the patients with spontaneous intracerebral hemorrhage
XU Jian-xing
CHEN Ji-gang
ZHANG Dan-feng
LI Zhen-xing
QU Xiao-Lin
Abstract：Objective To investigate the relationship between midline shift (MLS) and prognosis in the patient with spontaneous intracerebral hemorrhage (sICH). Methods The clinical and radiological data of 211 patients with sICH treated in Changzheng Hospital from January, 2012 to January, 2018 were analyzed retrospectively. MLS value was calculated on the cerebral CT images and its relationship with the prognoses 3 months after sICH was evaluated by multivariate logistic regression analysis. The optimal MLS value cut-off point for the prognoses prediction was decided by receiver operating characteristics (ROC) curve analysis. Results The multivariate logistic regression analysis showed that MLS was an independent predictor for the prognoses in the patients with sICH. The predictive value was confirmed by ROC curve analysis, and the optimal MLS value cut-off point was 3.65 mm. Conclusions MLS is associated with clinical prognosis and MLS value>3.65 mm may independently predict poor prognoses in the patients with sICH.
Keywords：CTMidline shiftCerebral hemorrhagePrognosisRelationship
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 138-140 )