Journal of Cerebrovascular Disease 2022 Vol.5 No.4 20-24

Computed Tomography Imaging of Intracerebral Hematoma Anatomy in Hypertensive Intracerebral Hemorrhage

Author(s): Tian-Xiang Zhan1,Yu-Xiang Weng1,Yue-Hui Ma1

Affiliation(s): 1Department of Neurosurgery, The First Affiliated Hospital, Zhejiang University, School of Medicine

Corresponding Author: Yue-Hui Ma

Corresponding email(s): yhma@zju.edu.cn

Key Words: Hypertensive intracerebral hemorrhage; Basal ganglia hemorrhage; Intracerebral hematoma; Computed tomography; Multiplanar reconstruction

Abstract:

Objective: The image data of intracerebral hematoma in hypertensive intracerebral hemorrhage (HICH) patients were obtained by three-dimensional (3D) spiral computed tomography (CT) scan in this study to provide a basis for clinical minimally invasive surgery and the development and research of related surgical instruments.

Methods: From June 2020 to March 2022, 33 patients with supratentorial HICH admitted to the Department of Neurosurgery, the First Affiliated Hospital, Zhejiang University, School of Medicine were selected. All patients underwent 3D spiral CT scanning. Multiplanar reconstruction (MPR) was used to reconstruct along any plane to obtain coronal, sagittal, cross-sectional, or arbitrary angle reconstructed images. Then, we observed and measured relevant data indicators on these three planes by measuring tools.

Results: All hemorrhage sites of these 33 HICH patients were basal ganglia hemorrhage, including left basal ganglia hemorrhage in 13 cases and right basal ganglia hemorrhage in 20 cases. It was also found that basal ganglia hematomas were usually elliptical, and the anteroposterior diameter was significantly larger than the transverse diameter, almost twice the size of the transverse diameter [(62 ± 10) mm vs. (35 ± 9) mm, P < 0.05]. Although the depth of the hematoma on the transfrontal (sagittal) approach was significantly greater than that on the transtemporal (transverse) approach [(100 ± 15) mm vs. (59 ± 14) mm, P < 0.05], the angle of the hematoma on the transfrontal approach was significantly smaller than that on the transtemporal approach [(37 ± 11)º vs. (70 ± 17)º, P < 0.05], which was conducive to improving the clearance rate of the hematoma.

Conclusion: During neuroendoscopic surgery for HICH patients, different lengths of the tubular port should be selected according to the transfrontal or transtemporal surgical approach to meet the needs of hematoma removal.

Full Text: 

On-line Access: 2022-12-01

Received: 2022-11-03

Revision Accepted: 2022-11-21

Publish: 2022-12-01

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