Juguler ve Sigmoid Çentik Alanları ile İntrakranyal Kanama Tarafı Arasındaki İlişkinin Değerlendirilmesi

Amaç: Sigmoid ve juguler çentik alanları ile spontan intrakranyal kanamanın (ICH) geliştiği taraf arasında ilişki olup olmadığını saptamak. Yöntem: Spontan intrakranyal kanama tanısı alan ve ortalama yaşları 68.8±11.7 (50 ila 90 yaş) olan toplam 265 hasta (111 kadın ve 154 erkek) retrospektif olarak çalışmaya dahil edildi. Kontrol grubu, ortalama yaşı 68.3±11.9 (50 ila 90 yaş) olan 45 (19 kadın ve 26 erkek) hastadan oluşmaktaydı. Sigmoid ve juguler çentik alanları, çalışma ve kontrol grupları için sağ ve sol hemikranyumdan aksiyal düzlem bilgisayarlı tomografi (BT) kesitlerinde ölçüldü. ICH ile sigmoid ve juguler çentik alanları arasındaki ilişki student t test ile değerlendirildi. Sağ ve sol sigmoid çentik ile sağ ve sol juguler çentik arasındaki ilişki Pearson korelasyon kullanılarak değerlendirildi. Bulgular: Sağ ve sol sigmoid ve juguler çentik alanları ile sağ taraflı ICH tanısı olan hastalar ve sol taraflı ICH tanısı olan hastalar arasında anlamlı ilişki bulundu (sırasıyla p<0.001 ve p<0.001). Ancak kontrol grubu ile sağ taraflı ICH tanısı olan hastalar arasında sağ sigmoid ve sağ juguler çentik alanları açısından anlamlı ilişki bulunmadı (sırasıyla p=0.156 ve p=0.483). Benzer şekilde, kontrol grubu ile sol taraflı ICH tanısı olan hastalar arasında sol sigmoid ve sol juguler çentik alanları açısından anlamlı ilişki bulunmadı (sırasıyla p=0.118 ve p=0.449). Sonuç: Sigmoid ve juguler çentik alanları ile intrakranyal kanama tarafı arasında anlamlı ilişki bulunmamıştır.

Anahtar Kelimeler:

Beyin, İntrakranyal kanama, Juguler ven

Is There Any Association Between the Jugular and Sigmoid Notch Areas and Intracranial Hemorrhage Side?

Purpose: To evaluate the association between the side of the spontaneous intracranial hemorrhage (sICH) and the jugular and sigmoid notch areas. Methods: A total of 265 patients (111 women and 154 men) with a mean age of 68.8±11.7 years (range between 50 to 90 years) and with sICH, were retrospectively enrolled. Control group harbored 45 patients (19 women and 26 men) with a mean age of 68.3±11.9 years (range between 50 to 90 years). Jugular and sigmoid notch areas were measured on axial plane CT images, for both the right and left side in the study and control groups. The association between ICH and sigmoid/jugular notch areas were assessed by student t test. The correlation between right/left sigmoid and right/left jugular notch areas were assessed by Pearson correlation. Results: There was a significant difference between right and left sigmoid/jugular notch areas in patients with right sided ICH (P<0.001) and left sided ICH (P<0.001) There was a significant difference between right and left sigmoid/jugular notch areas in patients with right sided ICH (P<0.001) and left sided ICH (P<0.001). No significant difference was found in terms of right sigmoid and right jugular notch areas between patients with right sided ICH and control group (P=0.156 and P=0.483, respectively). No significant difference was detected in terms of left sigmoid and left jugular notch areas between patients with left sided ICH and control group (P=0.118 and P=0.449, respectively). Conclusion: There was no direct association between the sigmoid and jugular notch areas and intracranial hemorrhage side.

Keywords:

Brain, Intracranial hemorrhage, Jugular vein,

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