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BMC Neurology

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01-12-2021 | Computed Tomography | Research article

The initial CT blend sign is not associated with poor patient outcomes after stereotactic minimally invasive surgery

Authors: Xu Yang, Yan Zhu, Linshan Zhang, Likun Wang, Yuanhong Mao, Yinghui Li, Jinbiao Luo, Guofeng Wu

Published in: BMC Neurology | Issue 1/2021

Abstract

Background

The initial CT blend sign is an imaging marker that has been used to predict haematoma expansion and poor outcomes in patients with small-volume intracerebral haemorrhage (ICH). However, the association of the blend sign with the outcomes of patients undergoing surgery remains unclear. The present study aimed to retrospectively evaluate the influence of the initial CT blend sign on short-term outcomes in patients with hypertensive ICH after stereotactic minimally invasive surgery (sMIS).

Methods

We enrolled 242 patients with spontaneous ICH. The patients were assigned to the blend sign group (91 patients) or non-blend sign (control) group (151 patients) based on the initial CT features. The NIHSS, GCS and mRS were used to assess the effects of sMIS. The rates of severe pulmonary infection and cardiac complications were also compared between the two groups.

Results

Statistically significant differences in the NIHSS and GCS scores were not observed between the blend sign group and the control group. No significant differences in the proportion of patients with good outcomes during the follow-up period were observed between the two groups. A higher rate of re-haemorrhage was noted in the blend sign group. Significant differences in the rates of severe pulmonary infection and cardiac complications were not observed between the two groups.

Conclusions

The initial CT blend sign is not associated with poor outcomes in patients with hypertensive ICH after sMIS. ICH patients with the CT blend sign should undergo sMIS if they are suitable candidates for surgery.

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Title: The initial CT blend sign is not associated with poor patient outcomes after stereotactic minimally invasive surgery
Authors: Xu Yang
Yan Zhu
Linshan Zhang
Likun Wang
Yuanhong Mao
Yinghui Li
Jinbiao Luo
Guofeng Wu
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Computed Tomography
Stroke
Computed Tomography
Coma
Minimally Invasive Surgery
Published in: BMC Neurology / Issue 1/2021
Electronic ISSN: 1471-2377
DOI: https://doi.org/10.1186/s12883-021-02181-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The initial CT blend sign is not associated with poor patient outcomes after stereotactic minimally invasive surgery

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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