门罗孔、脑导水管、第3或第4脑室阻塞是出血性脑卒中患者脑积水的可靠预测因素

IF 2 Q1 Medicine
Petra Octavian Perdana Wahjoepramono , Aloysius Bagus Sasongko , Danny Halim , Kurnia Wahyudi , Abrar Arham , Achmad Adam , Yeo Tseng Tsai , Eka Julianta Wahjoepramono , Julius July , Tri Hanggono Achmad
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引用次数: 0

摘要

目的脑积水是脑出血伴脑室扩张(ICH+IVH)的一种潜在后果,与较差的预后独立相关。本研究评估改良graaeb (mgraaeb)评分作为脑积水的预测指标,并通过分析Monro孔阻塞、脑导水管阻塞、第3或第4脑室阻塞作为ICH+IVH患者脑积水的唯一预测指标,提出了一种替代评估方法。方法回顾性研究纳入2018年至2023年印度尼西亚国家脑中心和西罗亚医院收治的成人自发性ICH+IVH患者。对临床资料和影像学资料进行评价。统计分析检验了脑积水发生率与mGraeb评分或心室阻塞点的相关性。采用串联试验对两种方法进行比较。结果共纳入119例患者。84例(70.6%)诊断为脑积水。mGraeb score (p <;0.001), Monro孔阻塞(p <;0.001),脑导水管(p <;0.001),第三心室(p = 0.002),第四心室(p = 0.002),以及任何阻塞点(p <;0.001)与脑积水发生率显著相关。串联测试表明,阻塞点阻塞对(p <;0.001),但与mGraeb评分相比,预测脑积水的特异性较低(p = 0.004)。结论mGraeb系统和评估脑室阻塞点是脑积水+IVH患者脑积水的可靠预测指标。与mGraeb评分相比,在临床环境中评估心室阻塞点的阻塞更简单,更容易。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Obstructed foramina of Monro, cerebral aqueduct, 3rd or 4th ventricles are reliable predictors of hydrocephalus in hemorrhagic stroke patients

Objective

Hydrocephalus is a potential consequence of intracerebral hemorrhage with ventricular extension (ICH+IVH) and is independently associated with poorer prognosis. This study evaluated the modified Graeb (mGraeb) score as a predictor of hydrocephalus and proposed an alternative assessment method by analyzing the obstruction of the foramina of Monro, cerebral aqueduct, and the 3rd or 4th ventricles as sole predictors of hydrocephalus in ICH+IVH patients.

Methods

This retrospective study included adult spontaneous ICH+IVH patients admitted to the National Brain Center and Siloam Hospital, Indonesia, between 2018 and 2023. Clinical information and imaging data were evaluated. Statistical analyses examined the correlation between hydrocephalus incidence and mGraeb score or obstruction of ventricular choke points. Tandem testing was performed to compare the two methods.

Results

One hundred and nineteen patients were included in this study. Hydrocephalus was diagnosed in 84 patients (70.6 %). mGraeb score (p < 0.001), obstructed foramina of Monro (p < 0.001), cerebral aqueduct (p < 0.001), 3rd ventricle (p = 0.002), 4th ventricle (p = 0.002), and any choke points (p < 0.001) are significantly associated with the incidence of hydrocephalus. Tandem testing suggested that choke point obstructions are more sensitive (p < 0.001), yet less specific (p = 0.004) in predicting hydrocephalus compared to the mGraeb score.

Conclusion

Both the mGraeb system and evaluating ventricular choke points are reliable predictors of hydrocephalus in ICH+IVH patients. Evaluating obstructions of the ventricular choke points is simpler and easier to be performed in clinical settings compared to the mGraeb score.
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来源期刊
World Neurosurgery: X
World Neurosurgery: X Medicine-Surgery
CiteScore
3.10
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0.00%
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23
审稿时长
44 days
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