Clinical application of noninvasive dynamic cerebral edema monitoring in cerebral hemorrhage patients
Abstract：Objective To study the effect of hematoma absorption and cerebral edema on neurological dysfunction in cerebral hemorrhage patients.Methods Twenty-nine cerebral hemorrhage patients were included in this study.Their hematoma and edema volume,NIHSS and Glasgow Coma Scale score were recorded on days 1,3,7 and 14 after cerebral hemorrhage.The agitating coefficient of bilateral cerebral hemispheres was monitored with a noninvasive brain edema monitor.The modified Rankin Rating Scale score was recorded 1 month after cerebral hemorrhage.The role of noninvasive brain edema monitoring in assessment of cerebral hemorrhage was analyzed.Results The agitating coefficient was significantly higher on the hemorrhage hemisphere than on the healthy hemisphere on days 3,7 and 14 after cerebral hemorrhage (10.08±1.10 vs 9.65 ±1.10,10.68±1.79 vs 10.27±1.77,10.83±2.08 vs 10.17±1.62,P＜0.01).Pearson correlation analysis showed that the agitating coefficient on the hemorrhage hemisphere was positively related with edema volume and NIHSS score (r=0.296,P=0.008;r=0.331,P=0.003).The NIHSS score of cerebral hemorrhage onset time was positively related with hematoma and edema volume (r=0.271,P=0.015;r=0.595,P=0.000).Multivariate logistic regression analysis showed that hematoma volume on day 3 after cerebral hemorrhage was a major predictor for the outcome in cerebral hemorrhage patients (OR=1.157,P=0.002).Conclusion Noninvasive brain edema monitor can show the change of cerebral edema in cerebral hemorrhage patients.
Keywords：cerebral hemorrhagehematomabrain edemaGlasgow coma scaleencephalocele
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1302-1305 )