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Of the 1,805 patients with acute stroke enrolled in the Stroke Data Bank, 237 had parenchymatous hemorrhage.After excluding 34 secondary intracerebral and 31 infratentorial hemorrhage patients,a logistic regression analysis of the 172 patients with primary supratentorial intracerebral hemorrhage(ICH)elucidated clinical factors that distinguished the 65 patients with lobar hemorrhage(LH)from the 107 patients with deep hemorrhage(DH)located in the basal ganglia and thalamus.In LH,severe headache was more common than in DH,while hypertension and motor deficit were significantly less common.Patients with either LH or DH had a similar prognosis and mean Glasgow Coma Scale (GCS)scores,despite the hematoma volume measured on the initial CT being significantly greater for LH than DH.The presence of intraventricular extension(IVH)was more frequent in DH.The frequency of IVH increased with hematoma volume in LH,but remained constant for DH.Two CT variables(IVH and hematoma volume)that differed in these two hemorrhage groups were important predictors of coma(GCS |
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basal ganglia,hemorrhage
CAT scan
CAT scan,abnormal
cerebrovascular accident,clinical diagnosis
Glasgow coma score
headache
headache,severe
intracerebral hemorrhage
intracerebral hemorrhage,lobar
intracerebral hemorrhage,location of
intracerebral hemorrhage,volume
intraventricular hemorrhage
level of consciousness
level of consciousness,decreased
neurologic disease,diagnoses of,clinical bedside
neurologic signs
prognosis
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