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The optimal therapy for intracerebral hemorrhages (ICHs) remains uncertain.1,2⇓ A first step for reaching a consensus on management is the development of grading scales, such as the ICH score, that allow risk stratification of ICH patients.3 This scale was later modified to improve the prediction of functional recovery among survivors of ICH.4 Such studies included patients with hemorrhages at various locations, and it is unknown whether these scales are reliable predictors of outcome in patients with brainstem hemorrhages. We tested the validities of the original and the modified ICH score in patients with pontine hemorrhages.
Patients and methods.
We prospectively evaluated 62 consecutive patients with a pontine hemorrhage admitted to our institutions from January 1997 to December 2001. The following information was recorded for each patient: age, sex, stroke risk factors, NIH Stroke Scale (NIHSS), Glasgow Coma Scale (GCS), modified Rankin Scale (mRS), and neuroimaging findings.
We applied the original and the modified ICH score to our patients using cutoff values identical to those used by others.3,4⇓ The original ICH score is composed of five items: GCS score (2 points for scores of 3 or 4, 1 …
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