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Nontraumatic posterior temporal lobe hemorrhage: clinical computed tomographic correlations
L A Weisberg1, M Shamsnia, D Elliott
1Department of Neurology and Psychiatry, Tulane Medical School, New Orleans, LA 70112.
Summary
This study analyzed ten patients with spontaneous or hypertensive posterior temporal hematomas. Clinical presentation varied by location, but all patients experienced good outcomes with spontaneous hematoma resolution.
Area of Science:
- Neurology
- Neurosurgery
Background:
- Nontraumatic posterior temporal hematomas are rare and can present with subtle or atypical neurological deficits.
- Understanding the clinical presentation and outcomes is crucial for timely diagnosis and management.
Purpose of the Study:
- To analyze the clinical characteristics and outcomes of patients with nontraumatic posterior temporal hematomas.
- To correlate hematoma location with presenting symptoms and neurological deficits.
Main Methods:
- Retrospective analysis of ten patients with nontraumatic posterior temporal hematomas.
- Review of clinical signs, neurological examination findings, hematoma size, and patient outcomes.
Main Results:
- Four spontaneous and six hypertensive hemorrhages were identified.
- Right-sided hematomas presented with sudden headache and confusion, mimicking toxic/metabolic encephalopathy.
- Left-sided hematomas initially presented with Wernicke-type aphasia.
- Hematoma sizes ranged from 1.8 to 2.8 cm in maximal diameter.
Conclusions:
- Posterior temporal hematomas can present with non-lateralizing symptoms, complicating diagnosis.
- Prompt recognition of specific clinical signs based on hematoma laterality is important.
- All analyzed patients had favorable outcomes with spontaneous hematoma resolution.