borderline significancep = 0.055
After addition of HALPz in Model B, higher standardized HALP showed an exploratory association with early neurological improvement (OR 6.292, 95% CI 1.226–61.424; p = 0.017), ECOG 3–4 remained unfavorable (OR 0.037, 95% CI 0.000–0.492; p = 0.009), and the rapid-growth association attenuated to borderline significance (OR 0.206, 95% CI 0.026–1.030; p = 0.055).