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Open Access
CC BY 4.0 · J Neurol Surg A Cent Eur Neurosurg
DOI: 10.1055/a-2737-7527
Original Article

The three-dimensional growth of traumatic Intracerebral Hemorrhage in patients with abnormal coagulation

Autoren

  • Jakob Rossmann 

    1   Neurosurgery, Paracelsus Medizinische Privatuniversitat - Nurnberg, Nurnberg, Germany (Ringgold ID: RIN470426)

  • Johannes Falter

    2   Clinic and Policlinic for Neurosurgery, University Hospital Regensburg, Regensburg, Germany (Ringgold ID: RIN39070)

  • Julius Höhne

    3   Neurosurgery, University Medical Center Regensburg, Regensburg, Germany

  • Christoph Hohenberger

    4   Department of Neurosurgery, University Medical Center Regensburg, Regensburg, Germany

  • Elisabeth Bründl

    5   Neurosurgery, University Hospital Regensburg, Regensburg, Germany

  • Nils Ole Schmidt

    6   Department of Neurosurgery, University Hospital Regensburg, Regensburg, Germany (Ringgold ID: RIN39070)

  • Karl-Michael Schebesch

    4   Department of Neurosurgery, University Medical Center Regensburg, Regensburg, Germany

  • Sylvia Bele 

    7   Neurosurgery, Universitatsklinikum Regensburg Klinik und Poliklinik fur Neurochirurgie, Regensburg, Germany (Ringgold ID: RIN221228)
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Background and purpose: The goal of the present study was to compare the volumetric three-dimensional growth of traumatic intracerebral hemorrhage (tICH) in patients with and without abnormal coagulation and question the necessity to perform repeated CT scans in all those patients. Methods: We retrospectively analysed CT-Scans from 50 patients with traumatic ICH. Abnormal coagulation was defined by the results of standard coagulation tests at admission including Factor XIII. The three-dimensional size of the hemorrhage was measured at admission, within 48 hours and 2 weeks. Results: Growth of the ICH was detected in 56 % of the patients. In the group with normal coagulation out of 30 patients, growth could only be detected in 10 (33.34 %) whereas in the abnormal coagulation group increased ICH volume occurred in 18 of 20 patients (90 %). The mean growth was 3.46 ml [95 % CI: +/- 2.99 ml] and varied from 0,1 ml [95 % CI: +/- 1.57] in the normal coagulation group to 8.52 ml [95 % CI: +/- 6.67 ml] in the coagulation disorder group. Conclusion: This study demonstrates the need to perform repeated CT scans in patients with coagulation disorders since patients with tICH and coagulation abnormalities are likely to experience substantial growth of the hemorrhage.



Publikationsverlauf

Eingereicht: 12. Oktober 2024

Angenommen nach Revision: 05. September 2025

Accepted Manuscript online:
06. November 2025

© . The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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