ĐẶC ĐIỂM HÌNH ẢNH HỌC VÀ MỘT SỐ YẾU TỐ LIÊN QUAN CỦA CHẢY MÁU THÙY NÃO TẠI TRUNG TÂM THẦN KINH BỆNH VIỆN BẠCH MAI

Abstract

Objective: Describe the imaging characteristics and some related factors of cerebral lobe hemorrhage at Bach Mai Hospital in 2023-2024. Subjects: 89 patients diagnosed with cerebral lobe hemorrhage were hospitalized at the Neurology Center, Bach Mai Hospital from September 2023 to July 2024. Methods: Cross-sectional descriptive study. Results: The results of the study of 89 patients showed that the rate of patients with interlobar hemorrhage was the highest (49.5%). Regarding the location of bleeding in 1 lobe, the highest rate was bleeding in the frontal lobe (25.8%). The majority of patients had an average size and volume of hematoma. The results of diagnostic imaging showed that (22.5%) had an abnormal cause and (77.5%) showed no abnormality detected. There was evidence of a difference in diagnostic imaging results between the two age groups ≥ 50 years old and under 50 years old (p < 0.05). Among patients ≥ 50 years old with cerebral lobar hemorrhage and examined with brain magnetic resonance imaging (MRI), 35% had images of cerebral amyloid angiopathy (CAA). In the study of 89 patients with cerebral hemorrhage, (10.1%) of the patients had a blood clotting disorder. The medical history of the patients with hypertension was the highest (51.7%). Then, the second row was the risk factors of drinking alcohol and smoking. The study of BMI of patients with cerebral hemorrhage showed that the majority of patients had normal BMI (84.3%). Conclusion: In our study, 22.5% had abnormal imaging results and 35% of brain MRI showed CAA in patients with lobar hemorrhage ≥ 50 years old. History of hypertension, alcohol consumption and smoking were prominent in patients with lobar hemorrhage. In addition, there was a number of patients with concomitant coagulation disorders accounting for 10.1%.