Lacunar syndrome and intracerebral hemorrhage: clinico-computed tomographic correlations.
We examined case of intracerebral hemorrhage presenting as lacunar syndrome. Of 115 cases, 10 presented with a lacunar syndrome: 3 presented with pure motor hemiparesis, 1, pure sensory stroke, 1, ataxic hemiparesis, 5, sensorimotor stroke, and, none, dysarthria--clumsy hand syndrome. The sites of hemorrhage were capsular in 1, pontine in 1, thalamic in 4, and putaminal in 4. In these 10 patients, 9 were hypertensive, and the signs characteristics of parenchymal hemorrhage, e.g., headache, nausea, vomiting, and stiffness of neck, were absent or rare.
Iwasaki
Y
Y
Department of Fourth Internal Medicine, Toho University Ohashi Hospital, Tokyo, Japan.
Kinoshita
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002543:Cerebral Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging*; D002544:Cerebral Infarction / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed