Hematoma Enlargement in Patients with Spontaneous Intracerebral Hemorrhage Undergoing Maintenance Hemodialysis Therapy

, Yong Gun Lee; , Chang Won Cho

Clinical Article

Journal of Korean Society of Geriatric Neurosurgery 2010;6(1):25-30.
Published online June 30, 2010.

Hematoma Enlargement in Patients with Spontaneous Intracerebral Hemorrhage Undergoing Maintenance Hemodialysis Therapy

Yong Gun Lee , Chang Won Cho

Department of Neurosurgery, Maryknoll Medical Center, Busan Catholic Health System, Busan, Korea

혈액투석을 받고 있는 환자에서 발생한 자발성 뇌출혈의 혈종 증가에 대한 임상적 고찰

이용건ㆍ조창원

부산가톨릭의료센터 메리놀병원 신경외과학교실

Abstract

Objective
Spontaneous intracerebral hemorrhage in patients undergoing maintenance hemodialysis therapy have bad outcome due to hematoma enlargement. The purpose of this paper is to clarify factors associated hematoma enlargement.
Methods
Sixteen patients undergoing hemodialysis who were admitted to our hospital with spontaneous intracerebral hemorrhage between 2003 and 2009 were investigated. We rechecked brain computed tomography in 2nd day of admission to evaluate hematoma enlargement. Age, sex, past history, cause or renal failure, duration of dialysis, time interval to admission, level of consciousness, location and shape of hematoma, hematoma volume, blood pressure and laboratory findings associated hemostatic dysfunction were compared.
Results
Hematoma enlargement was observed in 5 patients. Hematoma volume and hepatic dysfunction were significantly different between patients with and without hematoma enlargement (p<0.05).
Conclusion
We suggest large hematoma volume and previously hepatic dysfunction are factors of hematoma enlargement after admission in patient undergoing hemodialysis patients.

Key Words: Hematoma enlargementㆍIntracerebral hemorrhageㆍHemodialysis