Predictors of Poor Outcome in Thalamic Hematoma

Thalamic hematomas form the second largest group of spontaneous intracerebral hemorrhage (ICH), which are related to hypertension. Outcome depends on several factors including age, size of hematoma, GCS score and CT scan findings.

Factors predicting poor outcome in a patient with thalamic hematoma are:

  1. Male sex
  2. Low GCS (<8)
  3. Older age
  4. Uncontrolled high BP especially in the first few hours after admission
  5. Larger hematoma volume
  6. Hydrocephalus
  7. Intraventricular extension of hemorrhage

In the CT scan shown above, you can notice the radiological signs predicting poor outcome:

  1. Large hematoma volume
  2. Midline shift/mass effect
  3. Intraventricular hemorrhage
  4. Hydrocephalus

Published by Dr Sudhir Kumar MD (Medicine) DM (Neurology)

I am a doctor with 25 years experience. I have worked as a neurologist for about 20 years. Educating public and healthcare professionals is very dear to me. This is possible due to my interactions with thousands of patients and their caregivers. I salute the patients who suffer and it is our duty to minimise suffering by preventing diseases and ensuring prompt diagnosis and treatment of those already affected.

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