[Clinical polymorphism of circumscribed intracerebral hematomas]

Using clinical and a series of additional methods of examination, including computer-aided tomography, the authors studied 46 cases of limited (without breakthrough of blood into the CSF) intracerebral hematomas (LIH) which constituted 22% of the total number of the examined patients with brain hemorrhages. It has been established that in the majority of the cases of LIH (87%) the diagnosis of the stroke nature was difficult to make without computer-aided tomography. It was shown that the characteristics of the clinical picture and course of LIH were determined by the absence of breakthrough of blood into the CSF system, a relatively small size of hematoma, a mild degree of dislocational manifestations and their slow evolution. Three main variants of the clinical course of LIH were identified. The course of the disorder was usually favourable; the lethal outcome occurred in only 15.2% of the cases. The authors draw attention to the expediency of conducting computerized tomography over time and to the necessity of taking into account the status of the homeostasis system in the treatment of such patients.