Plain CT brain in prognostication of patients with ganglio capsular bleed.

Dr.Krishnakumar.P; Dr.Biju Bhadran; Dr.Sunil Panchal; Dr.Harrison G; Dr.Subrat.K.S

Volume : VII, Issue : VIII, August - 2018

Plain CT brain in prognostication of patients with ganglio capsular bleed.

Dr. Krishnakumar. P, Dr. Biju Bhadran, Dr. Sunil Panchal, Dr. Harrison G, Dr. Subrat. K. S

Abstract :

Background and Rationale:

Capsulo ganglionic bleed is a definite subset of intracerealhaemorrhage with heavy morbidity and high mortality. In this study we examine whether radiological parameters from a plain CT ain can be used for the purpose of prognostication in such cases.

Materials and Methods:

We undertook a prospective study of 120 consecutive patients who presented with capsulo ganglionic bleed.Univariate analysis of the radiological predictors was done and those found to attain statistical significance were fit into a multivariate logistic regression model. The model was validated using ROC (Receiver Operating Characteristic) curve.

Results:

The mortality rate was 30.8 %.( N=37).The mean age was 63.6 years. On univariate analysis location of haematoma, intraventricularhaemorrhage (IVH),volume of haematoma, hydrocephalus, and midline shift were found to be statistically significant. On multivariate logistic regression analysis location (p<.001, OR .020, 95%CI.003–.120) and midline shift (P<.001, OR 19.45, 95%CI 1.47–255.78) were found to be statistically significant.

Conclusion:

Capsulo ganglionic bleed forms a definite subset of primary spontaneous intracerealhaemorrhage with its own radiological prognostic variables. Medial location and midline shift were found to be reliable radiological prognostic markers.