[Lobar intracerebral hemorhages: a clinical study in 97 patients]

Adrià Arboix1

  • 1Unidad de Patología Vascular Cerebral, Servicio de Neurología, Hospital Universitari del Sagrat Cor, Universitat de Barcelona, Barcelona, España. aarboix@hscor.com

Medicina Clinica
|May 28, 2005
PubMed

Insights

Lobar hemorrhages (LH) represent one-third of all intracerebral hemorrhages. This study identified distinct clinical features and risk factors for LH, differing from subcortical hemorrhages.

Area of Science:

  • Neurology
  • Stroke Research
  • Cerebrovascular Diseases

Context:

  • Lobar hemorrhages (LH) constitute a significant proportion of intracerebral hemorrhages.
  • Understanding the specific characteristics of LH is crucial for effective diagnosis and management.
  • Previous studies have often grouped different types of intracerebral hemorrhages, potentially obscuring unique LH features.

Purpose:

  • To characterize the clinical features, etiology, and prognosis of lobar hemorrhages (LH).
  • To compare vascular risk factors and clinical profiles of patients with LH versus those with subcortical hemorrhages.
  • To identify independent predictors of LH.

Summary:

  • Lobar hemorrhages (LH) accounted for 35.9% of all intracerebral hemorrhages in a 12-year study.
  • The most common causes included arterial hypertension (41%) and vascular malformations (8.5%).
  • Independent predictors for LH included early seizures, headache, and female sex, while sensory deficit and hypertension were protective.

Impact:

  • The findings highlight that one in three intracerebral hemorrhages are lobar hemorrhages.
  • Identification of distinct risk factors and clinical profiles for LH compared to subcortical hemorrhages.
  • Provides valuable insights for targeted prevention and treatment strategies for lobar hemorrhages.
Abstract