Clinical – Radiological Correlates in Intracerebral Hematomas due to Aneurysmal Rupture

In this series of intracerebral hematomas from aneurysmal rupture, gathered from several neurosurgical services, certain morphological features were studied in detail. Patients with very large hematomas tended to have poor neurological grades on admission to hospital and their immediate discharge ou...

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Bibliographic Details
Published in:Canadian journal of neurological sciences 1982-11, Vol.9 (4), p.409-414
Main Authors: Benoit, B.G., Cochrane, D.D., Durity, F., Ferguson, G.G., Fewer, D., Hunter, K.M., Khan, M.I., Mohr, G., Watts, A.R., Weir, B.K.A., Wheelock, W.B.
Format: Article
Language:English
Subjects:
Cerebral Hemorrhage - diagnosis
Cerebral Hemorrhage - diagnostic imaging
Cerebral Hemorrhage - pathology
Hematoma - diagnosis
Hematoma - diagnostic imaging
Hematoma - pathology
Humans
Intracranial Aneurysm - complications
Tomography, X-Ray Computed
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Summary:In this series of intracerebral hematomas from aneurysmal rupture, gathered from several neurosurgical services, certain morphological features were studied in detail. Patients with very large hematomas tended to have poor neurological grades on admission to hospital and their immediate discharge outlook was correspondingly poor. Ruptured middle cerebral and pericallosal artery aneurysms were relatively common causes of intracerebral hematomas. Patients with temporal lobe hematoma did relatively well; those with parietal hematoma did poorly. The larger the hematoma the less chance there was of developing cerebral vasospasm but the more likely was pre-operative brain herniation. The survival was more closely linked to size and location of the hematoma than to the location of aneurysm or the degree of midline shift.
ISSN:0317-1671
2057-0155
DOI:10.1017/S0317167100044310