[Diagnosis of cerebral hemorrhages. A report of 247 anatomo-pathological cases (author's transl)].
A series of 247 cases with simple and apparently primitive cerebral hemorrhages selected from the pathological records of Charles Foix laboratory from 1962 to 1977 is reviewed with regard to the accuracy of the premortem diagnosis as a function of the size, the location and the age of the bleeding, the patient's age, the practices of angiography or lumbar puncture and the considered period of death. The clinical diagnosis of cerebral vascular disease was made in 75% of the cases from that serie but the hemorrhagic mechanism was identified only in 50,6% of cases. The diagnosis accuracy was enhanced in large and recent hemorrhages occuring in patients under 70 years old. It seemed better in cerebellar and intermediate locations. It was enhanced in more recent observations (collected since 1974). The practice of cerebral angiography and lumbar puncture rose up (in a somewhat equivalent way) the proportion of accurate diagnoses. The lumbar puncture practice was not associated with a higher rate of cerebral herniae.
D000328:Adult; D000367:Age Factors; D000368:Aged; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000145:classification / Q000175:diagnosis / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D013129:Spinal Puncture; D013997:Time Factors; D014057:Tomography, X-Ray Computed
Diagnostic des hémorragies cérébrales. 247 observations anatomiques.