MỘT SỐ ĐẶC ĐẶC HÌNH ẢNH CẮT LỚP VI TÍNH SỌ NÃO Ở BỆNH NHÂN CHẢY MÁU ĐỒI THỊ GIAI ĐOẠN CẤP TẠI BỆNH VIỆN BẠCH MAI

Abstract

Objective: Describe the computed tomography (CT) images of thalamic haemorrhage in acute-phase patients at Bach Mai Hospital from 2022 to 2023. Subjects: We selected 140 patients diagnosed with cerebral haemorrhage based on the World Health Organization's criteria for cerebral infarction (1989) and were enrolled from June 2022 to June 2023 at the Neurology Center of Bach Mai Hospital. Methods: This study employed a descriptive design. Results: The most common location of thalamic haemorrhage was in the posterior region (42.86%), followed by 20% of patients experiencing diffuse bleeding. The distribution of haemorrhage in the anterior, middle, and posterior thalamus was roughly equal, accounting for 12.14%, 10.71%, and 14.20%, respectively. Regarding haemorrhage volume, most cases were <30ml (81.43%), with only 5% of patients having a haemorrhage volume of 60ml or higher. A total of 77.86% of patients exhibited midline shift grade I, while only 3.57% showed grade III. Cerebral ventricle bleeding was absent in 52.14% of patients; single, double, triple, and quadruple ventricle bleeding accounted for 10.71%, 13.57%, 11.43%, and 12.14%, respectively. Regarding the Graeb scale, 71.43% of patients had a ventricle bleeding grade between 0-4, with only 12 out of 140 patients scoring between 9-12. On the Diringer scale, 52.14% of patients had a ventricle dilation score of 0, while 12.14% scored between 7-18, and only 5.71% scored between 19-24. Conclusion: Most thalamic haemorrhage cases were located in the posterior region, and most had a haemorrhage volume <30ml. Most cases of bleeding resulted in midline shift grade I, and the severity of ventricle bleeding was predominantly mild. Over 50% of patients did not exhibit ventricle dilation based on the Diringer scale.