Nontraumatic temporal subcortical hemorrhage. Clinical-computed tomographic analysis.
Thirty patients with temporal hematomas were analyzed. Four with frontal extension survived. Of 6 with ganglionic extension, three had residual deficit. Of 8 with parietal extension, 4 had delayed deterioration and died, two patients recovered, and two with peritumoral hemorrhage due to glioblastoma multiforme died. Five patients with posterior temporal hematomas recovered. In 7 patients with basal-inferior temporal hematomas, angiography showed aneurysms in 3 cases, angiomas in 2 cases and no vascular lesion in 2 cases. Of 23 cases with negative angiography and no systemic cause for temporal hematoma, 12 patients were hypertensive and 11 were normotensive. Ten hypertensive patients without evidence of chronic vascular disease had the largest hematomas, extending into the parietal or ganglionic regions. Seven of these patients died; 3 had residual deficit. Eleven normotensive and two hypertensive patients with evidence of chronic vascular change had smaller hematomas. They survived with good functional recovery.
Department of Neurology and Psychiatry, Tulane Medical School, New Orleans, Louisiana.
L A
LA
Weisberg
A
A
Stazio
M
M
Shamsnia
D
D
Elliott
D000328:Adult; D001479:Basal Ganglia / Q000000981:diagnostic imaging; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging* / Q000473:pathology; D003974:Diatrizoate Meglumine; D005260:Female; D005500:Follow-Up Studies; D005625:Frontal Lobe / Q000000981:diagnostic imaging; D006406:Hematoma / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010296:Parietal Lobe / Q000000981:diagnostic imaging; D013702:Temporal Lobe / Q000000981:diagnostic imaging*; D015898:Tomography Scanners, X-Ray Computed; D014057:Tomography, X-Ray Computed
D003974:Diatrizoate Meglumine