[Lacunar syndromes due to intracerebral hemorrhage].
Nine cases (seven men and two women, mean age 64.5 years) of classical lacunar syndromes due to intracerebral hemorrhage are reported. Three patients presented with pure motor hemiparesis (two putaminal hematomas with proportional weakness and one cortical hemorrhage with brachio-crural hemiparesis). Four patients presented with sensorimotor stroke due to thalamo-capsular hemorrhage. The last two patients had thalamic hemorrhage causing ataxic hemiparesis or dysarthria-clumsy hand syndrome. Four subjects had arterial hypertension, one was diabetic, and two were treated with anti-vitamin K. Abrupt onset was noted in all instances. Only one patient experienced moderate inaugural headaches. Good recovery occurred in all cases. Lacunar syndromes are a very uncommon presentation of intracerebral bleeding. Hemorrhages are yet the second etiology of such syndromes. Distinguishing hemorrhage from infarction is not clinically possible and needs early unenhanced CT scan.
Milandre
L
L
Services de Neurologie, CHU Timone, Marseille.
Donnet
A
A
Graziani
N
N
Grisoli
F
F
Khalil
R
R
D000368:Aged; D002540:Cerebral Cortex / Q000098:blood supply; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000175:diagnosis; D015161:Dementia, Multi-Infarct / Q000209:etiology* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011699:Putamen / Q000098:blood supply; D013788:Thalamus / Q000098:blood supply; D014057:Tomography, X-Ray Computed
Les syndromes lacunaires par hémorragie intracérébrale.