Article Sidebar

pdf
Date Published: 08/10/2025
Abstract Views: 211
Views pdf: 89
DOI: https://doi.org/10.51298/vmj.v554i3.15805
Issue
Vol. 554 No. 3 (2025)
Section
Các bài báo
How to Cite
Trần, T. N. T., Nguyễn, T. T. B., Luyện, T. K., Đồng, T. T. T., & Phạm, Đình Đài. (2025). SPOT” AND “SATELLITE” SIGNS IN PATIENTS WITH PRIMARY INTRACEREBRAL HEMORRHAGE: IMAGING CHARACTERISTICS AND ASSOCIATION WITH HEMATOMA EXPANSION. Vietnam Medical Journal, 554(3). https://doi.org/10.51298/vmj.v554i3.15805

SPOT” AND “SATELLITE” SIGNS IN PATIENTS WITH PRIMARY INTRACEREBRAL HEMORRHAGE: IMAGING CHARACTERISTICS AND ASSOCIATION WITH HEMATOMA EXPANSION

Thị Ngọc Trường Trần, Thị Thanh Bé Nguyễn, Trung Kiên Luyện, Thị Thu Trang Đồng, Đình Đài Phạm

Main Article Content

Abstract

Objective: To describe the characteristics of the “spot sign” and “satellite sign” in patients with primary intracerebral hemorrhage (ICH) treated at the Stroke Department of Military Hospital 103. Subjects and methods: A cross-sectional descriptive study was conducted on 116 patients with primary ICH who underwent CTA within 6 hours of symptom onset. The presence of the “spot sign”, “satellite sign”, and Spot Sign Score (SSS) features were evaluated and compared between HE and Non-HE groups. Results: The spot sign was observed in 39.66% of cases, with significantly higher frequency in the HE group (68.75%) compared to the Non-HE group (28.57%), p < 0.001. The satellite sign appeared in 18.10% of patients, also more frequent in the HE group (34.38% vs. 11.90%; p = 0.005). Co-occurrence of both signs was three times higher in the HE group (25.00% vs. 8.33%; p = 0.017). Regarding the SSS, two significant factors were identified: Maximum axial dimension of the spot ≥ 5 mm (86.36% in HE vs. 33.33%; p < 0.001) and SSS ≥ 2 (86.36% vs. 45.83%; p = 0.015). Conclusion: The “spot sign”, “satellite sign”, and higher SSS are strong imaging predictors of hematoma expansion in primary ICH. Their combination enhances predictive accuracy and supports clinical decision-making.

Article Details

Keywords

Primary intracerebral hemorrhage, “spot sign”, “satellite sign”, hematoma expansion

References

Yu Z., Zheng J., Ali H., et al. (2017). Significance of satellite sign and spot sign in predicting hematoma expansion in spontaneous intracerebral hemorrhage. Clinical Neurology and Neurosurgery, 162, 67–71.
2. Delgado Almandoz J.E., Yoo A.J., Stone M.J., et al. (2009). Systematic characterization of the computed tomography angiography spot sign in primary intracerebral hemorrhage identifies patients at highest risk for hematoma expansion: the spot sign score. Stroke, 40(9), 2994–3000.
3. Nguyễn Song Hào, Vũ Đăng Lưu, Nguyễn Đạt Anh (2019). Vai trò của dấu hiệu “spot”, thang điểm “spot sign” trên chụp cắt lớp vi tính mạch não trong dự báo sự lan rộng của khối máu tụ và kết cục lâm sàng ở bệnh nhân chảy máu não, Tạp chí Y học Việt Nam, 447 (1), tr.117-122.
4. Shimoda Y., Ohtomo S., Arai H., et al. (2017). Satellite Sign: A Poor Outcome Predictor in Intracerebral Hemorrhage. Cerebrovasc Dis, 44(3–4), 105–112.
5. Broderick J.P., Diringer M.N., Hill M.D., et al. (2007). Determinants of intracerebral hemorrhage growth: an exploratory analysis. Stroke, 38(3), 1072–1075.
6. Deng L., Zhang G., Wei X., et al. (2019). Comparison of Satellite Sign and Island Sign in Predicting Hematoma Growth and Poor Outcome in Patients with Primary Intracerebral Hemorrhage. World Neurosurgery, 127, e818–e825.
7. Songsaeng D., Peuksiripibul W., Wasinrat J., et al. (2023). Potential of Satellite Sign for Prediction of Hematoma Expansion in Small Spontaneous Hematoma within 7 Days’ Follow-Up. Asian J Neurosurg,
8. Helal H.H.A.E., Bahnasy W.S., Ghali A.A., et al. (2019). Early hematoma expansion in primary intracerebral hemorrhage: incidence and predictors. Egypt J Neurol Psychiatry Neurosurg, 55(1), 61.