The importance of clinical examination in comparison with the CT findings in patients with cerebral hemorrhage

Abstract

Provedeno je ispitivanje 75 bolesnika liječenih na Klinici za neurologiju i Odjelu za neurokirurgiju Kliničke bolnice Osijek kod kojih je CT pregledom potvrđena sumnja na cerebralnu hemoragiju. U kliničkoj slici 42 bolesnika imala su pri prijamu očevidan blaži neurološki ispad (parezu), a 31 bolesnik teški ispad (plegiju). Stanje poremećene svijesti bilo je kod 41 bolesnika. CT pregled učinjen je prosječno nakon 3,1 dana liječenja. Prosječno liječenje na Klinici za neurologiju trajalo je 19 dana. Ishod liječenja u 40 (53%) bolesnika bio je pozitivan u smislu preživljavanja, a u 22 (30%) letalan. Od 13 (17,3%) bolesnika liječenih na Odjelu neurokirurgiju 8 (10,6%) je preživjelo, a 5 (6,6%) je preminulo.There were 75 patients with the CT finding of cerebral hemorrhage, treated at the Clinic of Neurology and at the Department of Neurosurgery, Osijek Clinical Hospital. The clinical examination upon their admittance to the Hospital showed that 42 patients had a minor neurological disorder (paresis) whereas 31 patients had a major disorder (plegia). In 41 patients the state of consciousness was altered. CT evaluation of the patients was performed on the third day upon admission to the hospital. The average duration of hospitalization of those patients at the Clinic of Neurology was 19 days. Out of 62 patients treated at the Clinic of Neurology, 40 (53.3%) survived, and 22 (29.3%) died. Out of 13 patients treated at the Department of Neurosurgery, 8 (10.7%) survived and 5 (6.7%) died

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