The significance of midline structure shifting in the patients of cerebral hemorrhage in basal ganglia by computerized tomography
Song, Z.; Wang, R.; Zi, X.
Hunan Yi Ke da Xue Xue Bao 22(5): 452-454
1997
ISSN/ISBN: 1000-5625 PMID: 10073035 Document Number: 475426
Thirty-six patients of cerebral hemorrhage in basal ganglia were studied between medline structure shifting on CT scan and assessment of clinic neurological function, defect (AND). The differences were significant between the following two groups: including in parameter A (the distance from center of hematoma to normal midline), 26.01 +/- 6.06 mm in survivor group, 21.53 +/- 5.03 mm in death group; in parameter B (the distance from the farthest point in shifted midline to the normal midline), 3.84 +/- 2.66 mm in survivor group, 10.32 +/- 4.24 mm in death group; in parameter C (ratio of the partial length of shifted midline to all length of the normal midline), 0.347 +/- 0.136 in survivor group; 0.582 +/- 0.082 in death group. Having analized these parameters, the authors found that the mortality rates were 0 and 100% if B was < or = 4.0 mm and > 10.0 mm respectively and the mortality rates were 0 and 90% if C was < or = 0.30 and > 0.50. The authors also found that there was closed correlation between the parameters B or C described midline shifting and AND.