| To compare the prognosis of patients with malignant thalamic hemorrhage and benign thalamic hemorrhage, and to study the influence of imaging features of malignant thalamic hemorrhage on short-term prognosis. Methods: A total of 196 patients with spontaneous thalamic hemorrhage were included, including 159 patients with malignant thalamic hemorrhage and 37 with benign thalamic hemorrhage. The patients were followed up for 3 months and the prognosis was assessed using the modified Rankin Scale (mRS). The general data, imaging features and prognosis of the two groups were compared, and the imaging factors of poor prognosis in patients with malignant thalamic hemorrhage were studied. Results: The functional prognosis of patients with malignant thalamic hemorrhage was poor, and the mortality rate of patients with malignant thalamic hemorrhage was significantly higher than that of patients with benign thalamic hemorrhage. Patients with malignant thalamic hemorrhage are independent predictors of poor prognosis. The prognosis of patients with malignant thalamic hemorrhage was analyzed, and the results showed that age, hematoma volume at admission, and The degree of compression of the internal capsule (D value) were independent predictors of poor prognosis. Bringing the D value into the ROC curve, the area under the curve is 0.77, the Youden index is 0.47, the sensitivity is 0.79, the specificity is 0.68, and the cut-off value is 2.1 cm, indicating that in patients with malignant thalamic hemorrhage, the degree of internal capsule compression is greater than At 2.1cm, the prognosis may be poor. Conclusion: Patients with malignant thalamic hemorrhage have poor prognosis and are independent predictors of poor prognosis. Age, admission hematoma volume and D value are independent predictors of poor prognosis in patients with malignant thalamic hemorrhage. |