Neurologische Störungen

Role of Ultrasound in Diagnosis and Prediction of Outcome in Patients with Spontaneous Intracerebral Hemorrhage

Abstract

Sandra M Ahmed, Hanan A Amer, Hadeer M Hassan and Dalia M Labib

Background Intracerebral hemorrhage, despite being less frequent than ischemic stroke, has a worst early outcome and poorer prognosis. Intracerebral hematoma (ICH) size is one of the important predictors of outcome. CT scan is the gold standard for diagnosis and follows up of ICH yet needs the patient to be moved to radiology department which can be difficult for some ICU patients. Bedside ultrasound can be a potential reliable tool for assessing ICH size. Aim Assessing the utility of ultrasound in diagnosing and predicting outcome of ICH Subjects and method Thirty patients with spontaneous ICH has been selected and diagnosed by CT scan of the brain. Brain transcranial sonography (TCS) was done just after the CT. Multiple clinical scales were done and correlated to hematoma size detected by TCS. Results The results showed excellent reliability for hematoma volume assessment using CT and TCS, intra-class correlation coefficient (ICC) 95% CI 0.963 (0.923-0.983). Hematoma size by TCS showed a very good correlation to most of the clinical scales. Conclusion Bedside TCS can be a reliable tools for diagnosis and prediction of outcome of patients with ICH specially those who are difficult to be transported.