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Related Experiment Videos

Subcortical lobar hematomas: clinico-computed tomographic correlations.

Y Iwasaki1, M Kinoshita

  • 1Department of Fourth Internal Medicine, Toho University Ohashi Hospital, Tokyo, Japan.

Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society
|March 1, 1989
PubMed
Summary

Subcortical lobar hematomas, often caused by hypertension, typically affect the occipital lobes. Most patients recovered well without surgery, indicating conservative management may be sufficient.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Vascular Neurology

Background:

  • Subcortical lobar hematomas are a significant cause of neurological deficits.
  • Arterial hypertension is a primary risk factor for spontaneous intracerebral hemorrhage.
  • Occipital and temporooccipital lobes are common locations for these hematomas.

Purpose of the Study:

  • To review clinical characteristics and outcomes of patients with subcortical lobar hematomas.
  • To evaluate the efficacy of surgical intervention versus conservative management.
  • To identify common neurological presentations and etiological factors.

Main Methods:

  • Retrospective review of 18 patients diagnosed with subcortical lobar hematomas.
  • Analysis of patient demographics, clinical findings, imaging results, and treatment approaches.

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  • Assessment of neurological deficits and patient outcomes.

    • Main Results:

    • The leading cause identified was arterial hypertension.
    • Hematomas were predominantly located in the temporooccipital or occipital lobes.
    • Common neurological findings included headaches, vomiting, altered alertness, dysarthria, hemiparesis, and hemianopsia.
    • Three patients with arteriovenous malformations underwent surgical treatment.
    • All patients survived with significant resolution of neurological deficits.

    Conclusions:

    • Subcortical lobar hematomas, particularly those associated with hypertension, show favorable outcomes with conservative management.
    • Surgical intervention may not be routinely necessary for these types of hematomas.
    • Prompt diagnosis and management of underlying causes like hypertension are crucial.