Clinical and paraclinical criteria for prognosis of the hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of the disease

Standardizated criteria for predicting hemorrhagic transformation of cerebral infarction are currently absent. Aim. With the aim to determine predictors of hemorrhagic transformation of hemispheric cerebral infarction and its influence on the outcome of the acute period of disease clinical and paraclinical examination of 135 patients with acute cerebral ischemic supratentorial stroke was done. Methods and results. It was detected that the combination of atrial fibrillation and type 2 diabetes were associated with increased risk of hemorrhagic transformation. A mathematical model for hemorrhagic transformation predicting was elaborated. It takes into account the value of the total score according to the National Institutes of Health in the onset of the disease, blood glucose levels in admission period and the volume of the lesion. Conclusion. It was proved that parenchymal hematoma is criteria of unfavorable vital outcome prognosis of the acute period of cerebral supratentorial ischemic stroke.