Linked Life Data

4015901

Source:http://linkedlifedata.com/resource/pubmed/id/4015901

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1985-8-23
pubmed:abstractText
A sign of descending tentorial herniation (DTH) on computed tomography (CT) in 48 patients with putamenal hemorrhage was examined in the acute stage. Correlation between the DTH sign and prognosis for survival was studied in two groups; a conservative group and an operative group. Patients were grouped according to the presence or absence of DTH sign on CT. Grade 0: no herniation sign; Grade I: an encroachment upon the lateral aspect of the suprasellar cistern (impending herniation); Grade II: widening of the crural and ambient cistern on the same side as hematoma (actual herniation); Grade III: effacement of the cisternal space at the tentorial level (advanced stage of herniation). Twenty-one patients (44%) with Grade 0 DTH sign showed a good prognosis in both conservative and operative groups. Six patients (13%) with Grade I DTH sign also showed a good prognosis in both the conservative and the operative groups except one patient with anisocoria. There were 14 patients (29%) with Grade II DTH sign. Three of them who were treated conservatively showed only mild impairment of consciousness at the initial phase, but became worse 3-4 hours later. In the remaining patients who showed severe impairment of consciousness from the beginning of the illness, prognosis was poor except for patients with hematoma evacuation. Seven patients (15%) with Grade III DTH sign had poor prognosis both in the conservative and the operative groups. It is suggested that, in the acute stage of patients with putamenal hemorrhage, operative procedure should rapidly be performed not only for the clinical herniation sign but also for the DTH sign on CT even if the patients showed no clinical sign and only impairment of consciousness.
pubmed:language
jpn
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0006-8969
pubmed:author
pubmed:issnType
Print
pubmed:volume
37
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
263-7
pubmed:dateRevised
2007-2-22
pubmed:meshHeading
pubmed:year
1985
pubmed:articleTitle
[Study of the descending tentorial herniation sign in patients with putamenal hemorrhage at the acute stage].
pubmed:publicationType
Journal Article, English Abstract