Raumfordernde A.cerebi-media-Infarkte : ist die Mittellinienverlagerung ein prognostisches Kriterium?

In this study the illnesses of 46 patients (30 men, 16 women) admitted to and treated in the Neurological Intensive Care Unit of RWTH Aachen University after a complete media infarction in the period May 1992 to March 2002 were analysed retrospectively. A total of 3042 patients were admitted to the intensive care unit in this period. A mid-line displacement at the height of the Septum pellucidum as a result of a space-occupying process was observed in all 46 patients by means of CCT examinations. The objective was to analyse on the basis of the data whether there is a correlation between the extent of the mid-line displacement in the brain and the chances of survival of the patients. The extent of the mid-line displacement at the height of the Septum pellucidum was measured linearly and converted to original size. The results were compared with the results of other authors using a chi test. For statistical purposes (chi test) a mid-line displacement of 10 mm was fixed as limit in the horizontal plane for the survivors and deceased of the infarct. The patient data were (survivors or deceased) entered in a four-cell table. Using a chi test the correlation between the extent of the mid-line displacement at the height of the Septum pellucidum and the patient outcome was examined. The chi test resulted in a p-value of p = 0.1515. We suspect there is no significant correlation between mid-line displacement in the brain and patient mortality. Although CCT examination of patients with severe neurological defects following a stroke results in high diagnostic accuracy, the extent of the mid-line displacement in the CCT does not deliver any safe prognoses. The clinical significance of a mid-line displacement has been discussed contradictorily in the literature. The question whether an isolated observation of mid-line displacement after an infarct may be seen as a safe prognostic criterion remains open.

Grantor dc:publisher

Publikationsserver der RWTH Aachen University

Year dc:date

2009

Author dc:creator

• Karim Zadeh Sabooni, Hossein

Contributors dc:contributor

• Noth, Johannes

• info:eu-repo/classification/ddc/610
• Schlaganfall
• Infarkt
• Medizin
• Mediainfarkt

Statement dc:rights

• info:eu-repo/semantics/openAccess

Language dc:language

ger

Identifier

https://publications.rwth-aachen.de/search?p=id:%22RWTH-CONV-113496%22

OAI record oai:identifier

https://publications.rwth-aachen.de/oai2d?verb=GetRecord&metadataPrefix=oai_dc&identifier=oai%3Apublications.rwth-aachen.de%3A51184