About this trial
Cerebral haemorrhage represents a minority of acute vascular syndromes (less frequent than ischemic stroke, at around 20%), but with a therapeutic impasse, having no specific treatment.
Arterial contrast ("spot sign") within the hematoma has been described in CT scans as a risk factor for further enlargement and poor prognosis.
An equivalent marker has also been described in gadolinium-enhanced MRI.
By studying the radiological appearance of gadolinium "spot signs" on MRI, which has better parenchymal resolution, the researchers propose to retrace the phenomenology of the acute phase of cerebral hemorrhage in order to better estimate the risk of radiological aggravation by subgroup, which could serve as a target population for future therapeutic trials.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with acute cerebral hematomas from existing databases of cerebral amyloid angiopathy and hypertensive microangiopathy managed at Nîmes University Hospital;
Patients who have undergone a follow-up cerebral CT scan in the event of worsening or for follow-up.
Disqualifiers
Patient refusing to participate
Trial population
Patients with acute cerebral hematoma from existing databases of cerebral amyloid angiopathy and hypertensive microangiopathy; who underwent a follow-up cerebral CT scan in the event of worsening or for follow-up.
Trial design
Cohort
Retrospective
Treatments tested in this trial
None, pure observational study
Other interventionNone, pure observational study
Treatment groups
Trial outcomes
Primary outcomes
Presence of spot sign on gadolinium MRI
Presence of spot sign on gadolinium MRI (Yes/No)
Morphologic description of gadolinium MRI spot sign
morphological (shape, location within the hematoma) description of spot signs on brain MRI
Quantitative description of gadolinium MRI spot sign
Quantitative (number and categorial) description of spot signs on brain MRI
Secondary outcomes
association of spot sign with hematoma expansion on follow-up CT
association of spot sign with hematoma expansion on follow-up CT(Yes/No)
Association with the underlaying pathology
Association with the underlaying pathology as identified by the authors (Yes/No)
Sponsors and contacts
Click on the lead sponsor to view all of their trials.