Journal of the Korean Society of Stereotactic and Functional Neurosurgery 2012;8(1):6-9.
Published online June 30, 2012.
Predictive Value of Brain CT for Functional Outcome and Motor Recovery in Deep Seated Intracerebral Hemorrhage
Ho jun Yi, Hyung Sik Hwang, Jae Kwan Lim, Je Hoon Jeong, Il Young Shin
Department of Neurosurgery, College of Medicine, Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea
Abstract
Objective
: In deep seated intracerebral hemorrhage (ICH), functional outcome and motor recovery are very important as well as variable. We would like to predict functional outcome and motor recovery through initial brain CT image.
Methods
: In a retrospective review, 80 patients with spontaneous intracerebral hemorrhage(S-ICH) around internal capsule were identified among 136 cases of S-ICH between January 2006 and December 2007. We investigated age, sex, past medical history, Glasgow coma scale (GCS), Glasgow outcome scale (GOS), ICH volume, ICH location and the degree of motor recovery. We divided cases into 4 groups according to the location of hematoma. In addition, all types were subcategorized into two groups depending on the involvement of corona radiate. The difference of functional outcome and motor recovery according to type was statistical analyzed.
Results
: The mean age was 59 years old and the mean volume of hematoma was 23cc. The mean follow-up period was 35.7 months. Among 80 cases, type A was 13 (16.3%), type B 24 (30%), type C 16 (20%) and type D 27 (33.8%). There were significant differences of initial motor grade with ICH type and corona radiata involvement but there was not statistically significant factor to the motor recovery. The average motor grade improvement of lower extremity was better (1.3) than the upper extremity (1).
Conclusions
: The initial motor grade of spontaneous deep seated ICH should be related with the amount of damage of pyramidal tract but the initial CT could not predict the difference of functional outcome and motor recovery precisely.
Key Words: Deep seated intracerebral hemorrhage, Motor recovery, Corticospinal tract, Computed tomography.


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