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Neurological and Functional Outcome in Patients with Supratentorial Hemorrhages:A Prospective Study
Stroke 26:2249-2253, Lampl,Y.,et al, 1995
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Article Abstract
IN all of the bleeding locations,lethal outcome was significantly correlated with size of the hematoma(P<.001)and Glasgow Coma Scale score on admission(P<.001).Intraventricular blood expansion was found to have a better prognosis in thalamic bleeding(P<.007)and a worse prognosis in lobar hemorrhage(P<.01).The functional outcome after 6 months was directly correlated with the size of the bleeding area in lobar and putaminal hemorrhages.No correlation was found in thalamic bleeding.A worse functional outcome was found in putaminocapsular bleeding(P=.004)and in patients with ischemic heart disease.A limited better recovery prognosis was found in patients with lobar hematoma in the temporal lobe(P=0.52).The probability of lethal outcome can be calculated on admission in all patients with supratentorial bleeding and in correlation with the location and size of the bleeding area and level of consciousness.Intraventricular expansion of blood is a better prognostic factor in thalamic bleeding and a worse one in lobar hematoma.Functional outcome is correlated with size of the bleeding area and level of consciousness on admission in putaminal and lobar hemorrhages but has no correlation to thalamic hemorrhage.
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hemorrhage,putamenal
hemorrhage,thalamic
intracerebral hemorrhage
intracerebral hemorrhage,lobar
intracerebral hemorrhage,location of
intracerebral hemorrhage,volume
mortality
prognosis
unconsciousness
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