Beslow et al reported a simple score for grading intracerebral hemorrhage in children. The authors are from multiple hospitals and universities in the United States.
Patient selection: pediatric patient with intracerebral hemorrhage
Parameters:
(1) volume of intracerebral hemorrhage (ICH) in mL
(2) total brain volume (TBV) in mL
(3) acute hydrocephalus
(4) herniation
(5) location
volume of ICH as percent of TBV =
= (volume ICH) / (TBV) * 100%
|
Parameter |
Finding |
Points |
|
volume as percent TBV |
<= 2% |
0 |
|
|
2.01 to 3.99% |
1 |
|
|
>= 4% |
2 |
|
acute hydrocephalus |
no |
0 |
|
|
yes |
1 |
|
herniation |
no |
0 |
|
|
yes |
1 |
|
location |
infratentorial |
1 |
|
|
other |
0 |
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
• The higher the score the worse the prognosis.
Performance:
• A score >= 1 was 75% sensitive and 70% specific for moderate disability or worse.
• A score >= 2 was 90% sensitive and 68% specific for severe disability or worse.
• The area under the ROC curve was 0.88 for severe disability or death.
Specialty: Neurology
ICD-10: ,
