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Caudate hemorrhage

From the Department of Neurology (Drs. Stein, Hier, and Caplan) and the Department of Radiology (Dr. Hemmati), Michael Reese Hospital and Medical Center, Chicago; the Department of Neurology (Drs. Kase and Mohr), University of South Alabama, Mobile; and the Department of Neurosurgery (Dr. Henderson), St. Vincent's Hospital, Melbourne, Australia.

We studied 12 patients with intracerebral hemorrhage in the head of the caudate nucleus. These cases accounted for 7% of a consecutive series of intracerebral hemorrhage. The clinical findings differed from more common varieties of supratentorial hemorrhage. All patients had acute onset of vomiting, headache, stiff neck, decreased level of consciousness, and behavioral changes in a pattern that simulated subarachnoid hemorrhage. Seven patients had gaze paresis and hemiparesis, with or without sensory loss. Two of these seven patients had, in addition, elements of Homer's syndrome. The prognosis for recovery was good. No patient had recurrent hemorrhage or persistent hydrocephalus.

Address correspondence and reprint requests to Dr. Caplan, Michael Reese Hospital and Medical Center, 29th and Ellis, Chicago, IL 60616.

Presented in part at the thirty-fifth annual meeting of the American Academy of Neurology, San Diego, CA, April 1983

Accepted for publication March 29, 1984.

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