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Correlation of lesion location and appearance with clinical sequelae in 25 patients with CT-proven frontal lobe hematomas reveals 10 of 25 hematomas were located above the frontal horns of the lateral ventricles.Nine of the 10 patients were normotensive.All presented with contralateral motor and sensory deficits.Four of 25 hematomas were situated inferior to the frontal horns.All these patients were hypertensive,rapidly became comatose and exhibited hemiplegia,hemianesthesia and gaze preference contralateral to the hemiplegia.Five patients had frontal hematomas which extended inward from the interhemispheric fissure or caval-septal region.All were normotensive.All had anterior cerebral-anterior communicating artery aneurysms on angiography.Four patients had hematomas involving both the frontal and temporal region.All were normotensive with no known cause for hemorrhage.Two patients had bifrontal hematomas;one had butterfly appearance extending across the interhemispheric fissure and the other was midline but had no interhemispheric blood.Both were normotensive.One had an anterior cerebral-anterior communicating artery aneurysm. |
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aneurysm
aneurysm,anterior communicating
aneurysm,intracranial
CAT scan
CAT scan,abnormal
conjugate gaze,forced
frontal lobe,space occupying lesion of
headache
hematoma,intracerebral
hypertension
hypertension,cerebrovascular disease with
intracerebral hemorrhage
intracerebral hemorrhage,causes of
intracerebral hemorrhage,differential diagnosis of
intracerebral hemorrhage,lobar
intracerebral hemorrhage,multiple
malformation,vascular
malformation,vascular,cerebral
meningismus
monoparesis
nausea and vomiting
pure motor stroke
seizure
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