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Cerebral atrophy is an independent risk factor for unfavorable outcome after spontaneous supratentorial intracerebral hemorrhage

Background and Purpose—To investigate the influence of cerebral atrophy on clinical outcome in patients with supratentorial intracerebral hemorrhage.Methods—Computed tomography scans of 320 patients included in a prospective, multicenter trial were used for a segmentation analysis to determine the s...

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Main Authors: Herweh, Christian (Author) , Prager, Eric Peter (Author) , Sykora, Marek (Author) , Bendszus, Martin (Author)
Format: Article (Journal)
Language:English
Published: 14 Feb 2013
In: Stroke
Year: 2013, Volume: 44, Issue: 4, Pages: 968-971
ISSN:1524-4628
DOI:10.1161/STROKEAHA.111.670901
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1161/STROKEAHA.111.670901
Verlag, lizenzpflichtig, Volltext: https://www.ahajournals.org/doi/10.1161/STROKEAHA.111.670901
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Author Notes:Herweh Christian, Prager Eric, Sykora Marek, and Bendszus Martin

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520 |a Background and Purpose—To investigate the influence of cerebral atrophy on clinical outcome in patients with supratentorial intracerebral hemorrhage.Methods—Computed tomography scans of 320 patients included in a prospective, multicenter trial were used for a segmentation analysis to determine the supratentorial cerebral volume. A logistic regression analysis was used to explore its effect on outcome after 90 days in addition to other clinical and imaging parameters.Results—Cerebral volume loss significantly reduced the odds for favorable outcome after 90 days (odds ratio=0.91; confidence interval, 0.85-0.99; P=0.02).Conclusions—Cerebral atrophy is an independent predictor of unfavorable outcome after intracerebral hemorrhage, indicating reduced functional recovery potential in these individuals. 
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