Active extravasation of contrast within the hemorrhage (spot sign): a multidetector computed tomography finding that predicts growth and a worse prognosis in non-traumatic intracerebral hemorrhage
Intracerebral hemorrhage (ICH) causes high rates of disability and neurological sequelae Objective To evaluate spot signs as predictors of expansion and worse prognosis in non-traumatic ICH in a Brazilian cohort. Method We used multidetector computed tomography angiography to study 65 consecutive...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
2013-10-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013001100791&lng=en&tlng=en |
| _version_ | 1811311893683372032 |
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| author | Marcos Rosa Junior Antonio Jose da Rocha Nelson Saade Antonio Carlos Martins Maia Junior Rubens Jose Gagliardi |
| author_facet | Marcos Rosa Junior Antonio Jose da Rocha Nelson Saade Antonio Carlos Martins Maia Junior Rubens Jose Gagliardi |
| author_sort | Marcos Rosa Junior |
| collection | DOAJ |
| description | Intracerebral hemorrhage (ICH) causes high rates of disability and neurological sequelae Objective To evaluate spot signs as predictors of expansion and worse prognosis in non-traumatic ICH in a Brazilian cohort. Method We used multidetector computed tomography angiography to study 65 consecutive patients (40 men, 61.5%), with ages varying from 33 to 89 years (median age 55 years). Clinical and imaging findings were correlated with the findings based on the initial imaging. Results Of the individuals who presented a spot sign, 73.7% died (in-hospital mortality), whereas in the absence of a spot sign the mortality rate was 43.0%. Although expansion of ICH was detected in 75% of the patients with a spot sign, expansion was observed in only 9.0% of the patients who did not present a spot sign. Conclusions The spot sign strongly predicted expansion in non-traumatic ICH and an increased risk of in-hospital mortality. |
| first_indexed | 2024-04-13T10:25:49Z |
| format | Article |
| id | doaj.art-0b26b94dac764c919d2c4468d9529432 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-04-13T10:25:49Z |
| publishDate | 2013-10-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-0b26b94dac764c919d2c4468d95294322022-12-22T02:50:18ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272013-10-01711079179710.1590/0004-282X20130124S0004-282X2013001100791Active extravasation of contrast within the hemorrhage (spot sign): a multidetector computed tomography finding that predicts growth and a worse prognosis in non-traumatic intracerebral hemorrhageMarcos Rosa JuniorAntonio Jose da RochaNelson SaadeAntonio Carlos Martins Maia JuniorRubens Jose GagliardiIntracerebral hemorrhage (ICH) causes high rates of disability and neurological sequelae Objective To evaluate spot signs as predictors of expansion and worse prognosis in non-traumatic ICH in a Brazilian cohort. Method We used multidetector computed tomography angiography to study 65 consecutive patients (40 men, 61.5%), with ages varying from 33 to 89 years (median age 55 years). Clinical and imaging findings were correlated with the findings based on the initial imaging. Results Of the individuals who presented a spot sign, 73.7% died (in-hospital mortality), whereas in the absence of a spot sign the mortality rate was 43.0%. Although expansion of ICH was detected in 75% of the patients with a spot sign, expansion was observed in only 9.0% of the patients who did not present a spot sign. Conclusions The spot sign strongly predicted expansion in non-traumatic ICH and an increased risk of in-hospital mortality.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013001100791&lng=en&tlng=enspot signangio-TCacidente vascular cerebral hemorragicohemorragia cerebral |
| spellingShingle | Marcos Rosa Junior Antonio Jose da Rocha Nelson Saade Antonio Carlos Martins Maia Junior Rubens Jose Gagliardi Active extravasation of contrast within the hemorrhage (spot sign): a multidetector computed tomography finding that predicts growth and a worse prognosis in non-traumatic intracerebral hemorrhage Arquivos de Neuro-Psiquiatria spot sign angio-TC acidente vascular cerebral hemorragico hemorragia cerebral |
| title | Active extravasation of contrast within the hemorrhage (spot sign): a multidetector computed tomography finding that predicts growth and a worse prognosis in non-traumatic intracerebral hemorrhage |
| title_full | Active extravasation of contrast within the hemorrhage (spot sign): a multidetector computed tomography finding that predicts growth and a worse prognosis in non-traumatic intracerebral hemorrhage |
| title_fullStr | Active extravasation of contrast within the hemorrhage (spot sign): a multidetector computed tomography finding that predicts growth and a worse prognosis in non-traumatic intracerebral hemorrhage |
| title_full_unstemmed | Active extravasation of contrast within the hemorrhage (spot sign): a multidetector computed tomography finding that predicts growth and a worse prognosis in non-traumatic intracerebral hemorrhage |
| title_short | Active extravasation of contrast within the hemorrhage (spot sign): a multidetector computed tomography finding that predicts growth and a worse prognosis in non-traumatic intracerebral hemorrhage |
| title_sort | active extravasation of contrast within the hemorrhage spot sign a multidetector computed tomography finding that predicts growth and a worse prognosis in non traumatic intracerebral hemorrhage |
| topic | spot sign angio-TC acidente vascular cerebral hemorragico hemorragia cerebral |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013001100791&lng=en&tlng=en |
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