Intracerebral Hemorrhage Clinical Trial
Official title:
A Research of the Methods of Etiological Diagnosis of Cerebral Amyloid Angiopathy
The purpose of this study is to
1. Early identify patients based on clinical manifestation, imaging, gene and histology,
explore diagnostic tools
2. get gene repertoire of Chinese
3. Build a cerebral amyloid angiopathy (CAA) prospective cohorts, observing the disease
history, and exploring prognostic factors of hemorrhage in CAA patients
We recruited consecutive patients with intracerebral hemorrhage(ICH). Clinical data and the
results of laboratory tests and CT will be assessed and recorded. All the subjects will get
gene tests including many genes related with Aβ and small vessel disease (Next-generation
sequencing and target enrichment system) .
The result of the MRI Scans including cerebral microbleeds(CMBs)、Cortical superficial
siderosis(cSS), white matter change(WMC) and enlarged perivascular spaces (EPVS) will be
assessed using scales. Ocular fundus exams such as funduscopy and imaging will be used to
assess multiple dot and blot hemorrhages and microaneurysms by ophthalmologist. Mini-mental
state examination(MMSE) will be used to assess the cognitive function.
Patients who need operation on the hematoma for the treatment will accept a brain tissue
pathological exams According to this, a prospective cohort of CAA patients based on clinical
manifestation, imaging, gene and histology will be built, and diagnostic tools such as gene
and MRI results, etc will be explored. And we will get gene repertoire of Chinese patient
with ICH.
Then, the subjects will be followed up on 30-day, 3-month, 6-month, and 1-year.The patients'
clinical outcome will be assessed , and the results of laboratory tests and therapy will be
recorded. Prognostic factors of patients with CAA related ICH will be explored.
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Observational Model: Cohort, Time Perspective: Prospective
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