Relation between CT angiography imaging manifestation and intracerebral hematoma in patients with hypertensive cerebral hemorrhage
Wu Meiping
Sun Rong
Xiao Jianyun
Gong Peipei
Abstract：Objective To analyze the relation between CT angiography(CTA) imaging manifestation and intracerebral hematoma in patients with hypertensive cerebral hemorrhage (HCH).Methods A retrospective study was performed on 120 patients with HCH in the People's Hospital of Rugao,Jiangsu Province from August 2017 to November 2018.All patients had CTA immediately after admission.Relation between CTA point signs and hematoma volume was analyzed.Results CTA showed hematoma enlargement in 48 patients in 48 h after admission.Higher rate of point signs in CTA was observed in patients with hematoma enlargement [87.5％ (42/48) vs 5.6％ (4/72)] (x2 =81.812,P ＜0.001).Hematoma volume increased more significantly in48 h in patients with CTA point signs [(15.6 ± 2.3) ml vs (2.9 ± 1.3) ml] and patients with hematoma enlargement [(14.7 ± 2.3) ml vs (2.8 ± 1.0)ml] (x2 =33.579,34.247,both P ＜0.001).Spearman test showed positive correlation between the increase of hematoma volume and the rate of CTA signs (r =1.362,P ＜ 0.001).Conclusion CTA signs is correlated with hematoma enlargement in HCH patients;early intervention should be performed on these patients to prevent re-bleeding and disease deterioration.
Keywords：Hypertensive intracerebral hemorrhageCT angiographyIntracerebral hematoma
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 1800-1803 )