Lobar vs thalamic and basal ganglion hemorrhage: clinical and radiographic features

R. B. Lipton, A. R. Berger, M. L. Lesser, G. Lantos, R. K. Portenoy

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

One hundred and twelve patients with spontaneous supratentorial intracerebral hemorrhages were reviewed to identify features which distinguish lobar intracerebral hemorrhage (LH; n=42) from thalamic or basal ganglionic hemorrhage (TGH; n=70). Chronic hypertension occurred more commonly in TGH (TGH 67%; LH 48%) while bleeding diathesis was more common in LH (LH 19%; TGH 6%). Clinical presentations were extremely variable and not associated with the type of hemorrhage. Bleeding into the ventricles and hydrocephalus occurred more often with TGH. At last follow-up, there were minimal differences between LH and TGH in overall mortality and functional outcome of the survivors. Alertness on admission was associated with a good outcome regardless of the type of hemorrhage, while a low Glasgow Coma Scale score, coma, ataxic respiration, abnormal pupil reactions, acute hypertension, large hemorrhage size and intraventricular blood were associated with a poor outcome. These data confirm etiological distinctions between LH and TGH, but fail to confirm previously reported differences in clinical presentation and outcome.

Original languageEnglish (US)
Pages (from-to)86-90
Number of pages5
JournalJournal of Neurology
Volume234
Issue number2
DOIs
StatePublished - Feb 1987

Keywords

  • Basal ganglion hemorrhage
  • CT findings
  • Lobar hemorrhage
  • Thalamic hemorrhage

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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