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Departments of Neurology (Drs. Kase and Mohr) and Radiology (Dr. Williams and Mr. Wyatt), University of South Alabama, College of Medicine, Mobile, AL.
Twenty-two cases of lobar hematomas occurred among 93 consecutive patients presenting with intracerebral hemorrhage. Arterial hypertension was the leading cause. Most hematomas were found in the parietotemporal region. Common physical findings were hemiparesis, hemisensory syndrome, and visual field defects. Seizures occurred in 23% of the patients, and coma was infrequent at onset. Mortality rate was 32% Hematoma size on CT correlated with outcome: Patients with small hematomas did well on medical treatment, and those with medium size and large hematomas had mortalities of 14 and 60%, respectively. One-half of the survivors in the latter groups were treated surgically. It is proposed that large and medium size hematomas might benefit from surgical treatment, especially when the level of consciousness progressively deteriorates or CT scan shows prominent midline shift.
Address correspondence and reprint requests to Dr. Kase. Neurology Department, University of South Alabama College of Medicine 2451 Fillineim Street, Mobile, AL 36617.
This work was supported by National Institutes of Health Contract No. 1-NS-8-2379.
Accepted for publication March 8, 1982.
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