A cerebrális állományvérzés diagnosztikája a komputertomográfia korszaka elott

Translated title of the contribution: Diagnosis of cerebral hemorrhage before the era of computed tomography

Gergely Hofgárt, Rita Szepesi, Bertalan Vámosi, László Csiba

Research output: Contribution to journalArticle

Abstract

Introduction: During the past decades there has been a great progress in neuroimaging methods. Cranial computed tomography is part of the daily routine now and its use allows a fast diagnosis of parenchymal hemorrhage. However, before the availability of computed tomography the differentiation between ischemic and hemorrhagic stroke was based on patient history, physical examination, percutan angiography and cerebrospinal fluid sampling, and the clinical utility could be evaluated by autopsy of deceased patients. Aim: The authors explored the diagnostic performance of cerebrospinal fluid examination for the diagnosis of ischemic and hemorrhagic stroke. Method: Data of 200 deceased stroke patients were retrospectively evaluated. All patients had liquor sampling at admission and all of them had brain autopsy. Results: Bloody or yellowish cerebrospinal fluid at admission had a positive predictive value of 87.5% for hemorrhagic stroke confirmed by autopsy, while clear cerebrospinal fluid had positive predictive value of 90.7% for ischemic stroke. Patients who had clear liquor, but autopsy revealed hemorrhagic stroke had higher protein level in the cerebrospinal fluid, but the difference was not statistically significant (p = 0.09). Conclusions: The results confirm the importance of pathological evaluation of the brain in cases deceased from cerebral stroke. With this article the authors wanted to salute for those who contributed to the development of the Hungarian neuropathology. In this year we remember the 110th anniversary of the birth, and the 60th anniversary of the death of professor Kálmán Sántha. Professor László Molnár would be 90 years old in 2013. Orv. Hetil., 154 (44), 1743-1746.

Translated title of the contributionDiagnosis of cerebral hemorrhage before the era of computed tomography
Original languageHungarian
Pages (from-to)1743-1746
Number of pages4
JournalOrvosi hetilap
Volume154
Issue number44
DOIs
Publication statusPublished - Nov 1 2013

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Diagnosis of cerebral hemorrhage before the era of computed tomography'. Together they form a unique fingerprint.

  • Cite this