Low occurrence of “spot sign” on computed tomography angiography in acute intracerebral hemorrhage: A single-center prospective study from India
Background: Intracerebral hemorrhage (ICH) has high mortality and morbidity. The “spot sign” on three-dimensional computerized tomography angiography (3D-CTA) has been associated with hematoma expansion and poorer outcomes. The occurrence of “spot sign” in the Indian population is poorly studied. Th...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | CHRISMED Journal of Health and Research |
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| Online Access: | http://www.cjhr.org/article.asp?issn=2348-3334;year=2019;volume=6;issue=4;spage=248;epage=253;aulast=Jaison |
| _version_ | 1819160350248927232 |
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| author | Vineeth Jaison Paramdeep Kaur Yashpal Singh Uttam Braino George Jeyaraj Durai Pandian |
| author_facet | Vineeth Jaison Paramdeep Kaur Yashpal Singh Uttam Braino George Jeyaraj Durai Pandian |
| author_sort | Vineeth Jaison |
| collection | DOAJ |
| description | Background: Intracerebral hemorrhage (ICH) has high mortality and morbidity. The “spot sign” on three-dimensional computerized tomography angiography (3D-CTA) has been associated with hematoma expansion and poorer outcomes. The occurrence of “spot sign” in the Indian population is poorly studied. This study was done to explore the occurrence of “spot sign” in Indian patients with ICH and their outcomes. Methods: Patients with ICH presenting within 48 h from onset to the stroke unit were recruited. They underwent noncontrast computerized tomography (NCCT) head followed by 3D-CTA and a repeat NCCT head before discharge, surgery, or with clinical worsening within 7 days of presentation. Hematoma volume was calculated using the ABC/2 method. The primary outcome was modified Rankin Scale at 3 months. Results were analyzed using descriptive statistics, Fisher's exact test, independent t- test, and Mann–Whitney U-test. The analysis was performed using SPSS version 21. P < 0.05 was taken as statistically significant. Results: Fifty-four patients were recruited during the study period, and only three patients (5.6%) had “spot sign.” All patients with “spot sign” had poor outcome without hematoma expansion. Conclusion: This study shows a low occurrence of “spot sign” in patients with ICH than previously reported. All patients with “spot sign” showed poor outcome. |
| first_indexed | 2024-12-22T16:55:03Z |
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| institution | Directory Open Access Journal |
| issn | 2348-3334 2348-506X |
| language | English |
| last_indexed | 2024-12-22T16:55:03Z |
| publishDate | 2019-01-01 |
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| series | CHRISMED Journal of Health and Research |
| spelling | doaj.art-13af796edf804ff5a74379250034beae2022-12-21T18:19:28ZengWolters Kluwer Medknow PublicationsCHRISMED Journal of Health and Research2348-33342348-506X2019-01-016424825310.4103/cjhr.cjhr_102_18Low occurrence of “spot sign” on computed tomography angiography in acute intracerebral hemorrhage: A single-center prospective study from IndiaVineeth JaisonParamdeep KaurYashpal SinghUttam Braino GeorgeJeyaraj Durai PandianBackground: Intracerebral hemorrhage (ICH) has high mortality and morbidity. The “spot sign” on three-dimensional computerized tomography angiography (3D-CTA) has been associated with hematoma expansion and poorer outcomes. The occurrence of “spot sign” in the Indian population is poorly studied. This study was done to explore the occurrence of “spot sign” in Indian patients with ICH and their outcomes. Methods: Patients with ICH presenting within 48 h from onset to the stroke unit were recruited. They underwent noncontrast computerized tomography (NCCT) head followed by 3D-CTA and a repeat NCCT head before discharge, surgery, or with clinical worsening within 7 days of presentation. Hematoma volume was calculated using the ABC/2 method. The primary outcome was modified Rankin Scale at 3 months. Results were analyzed using descriptive statistics, Fisher's exact test, independent t- test, and Mann–Whitney U-test. The analysis was performed using SPSS version 21. P < 0.05 was taken as statistically significant. Results: Fifty-four patients were recruited during the study period, and only three patients (5.6%) had “spot sign.” All patients with “spot sign” had poor outcome without hematoma expansion. Conclusion: This study shows a low occurrence of “spot sign” in patients with ICH than previously reported. All patients with “spot sign” showed poor outcome.http://www.cjhr.org/article.asp?issn=2348-3334;year=2019;volume=6;issue=4;spage=248;epage=253;aulast=Jaisonhematoma expansionintracerebral hemorrhagespot sign |
| spellingShingle | Vineeth Jaison Paramdeep Kaur Yashpal Singh Uttam Braino George Jeyaraj Durai Pandian Low occurrence of “spot sign” on computed tomography angiography in acute intracerebral hemorrhage: A single-center prospective study from India CHRISMED Journal of Health and Research hematoma expansion intracerebral hemorrhage spot sign |
| title | Low occurrence of “spot sign” on computed tomography angiography in acute intracerebral hemorrhage: A single-center prospective study from India |
| title_full | Low occurrence of “spot sign” on computed tomography angiography in acute intracerebral hemorrhage: A single-center prospective study from India |
| title_fullStr | Low occurrence of “spot sign” on computed tomography angiography in acute intracerebral hemorrhage: A single-center prospective study from India |
| title_full_unstemmed | Low occurrence of “spot sign” on computed tomography angiography in acute intracerebral hemorrhage: A single-center prospective study from India |
| title_short | Low occurrence of “spot sign” on computed tomography angiography in acute intracerebral hemorrhage: A single-center prospective study from India |
| title_sort | low occurrence of spot sign on computed tomography angiography in acute intracerebral hemorrhage a single center prospective study from india |
| topic | hematoma expansion intracerebral hemorrhage spot sign |
| url | http://www.cjhr.org/article.asp?issn=2348-3334;year=2019;volume=6;issue=4;spage=248;epage=253;aulast=Jaison |
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