Abstract
To clarify the significant relationship between hematoma enlargement and enhanced CT in acute phase of hypertensive intracerebral hematoma, 29 patients were studied in whom CT could be performed on admission 3 and 6 hours after onset. They were classified into two groups, one with hematoma enlargement (14 cases) and the other without hematoma enlargement (15 cases). The following admission data affecting enlargement were analyzed: Glasgow Coma Scale, mean blood pressure, blood laboratory findings, and CT findings. The group with hematoma enlargement showed significant increases at 6 hours after onset. Extravasation rate in the initial CT was significantly high in the group with hematoma enlargement. These results suggest that admission CT, including contrast enhancement study, and CT at 6 hours after onset are useful for detecting enlargement in hypertensive intracerebral hematoma patients.
