Thalamic hemorrhage

Walshe, Triona; Davis, K R; Fisher, C. M.

doi:10.1212/wnl.27.3.217

Cited by 126 publications

(37 citation statements)

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“…(table 2) Few reports have appeared concerning the correlation between age and recovery in thalamic hemorrhage. Walsche et al 10 reported an average age of 79 years among 9 such deaths, and an average age of 54 among 9 such survivors. Nakahara et al, 12 however, reported that there is no correlation between age and recovery in this lesion.…”

Section: Discussionmentioning

confidence: 99%

“…10, " Excluding the positive effects of continuous ventricular drainage or shunt operations in cases of thalamic hemorrhage, when ventricular dilatation or intraventricular hematoma is present, the size and site of the hematoma and the degree of brain damage at the site of the hemorrhage are thought to determine the degree of recovery following onset. For this reason, we considered that an investigation of factors in the acute stage which contribute to the prognosis in clinical cases would be particularly significant.…”

Section: Discussionmentioning

confidence: 99%

“…This was found using either method for calculating the hematoma volume and must be considered a more definitive result than our previous work. In one study, 10 there were no survivors among the patients with hematomas with maximum diameters in excess of 33 mm and no deaths with diameters less than 27 mm. A second study 9 found no deaths with maximum diameters less than 20 mm and 73% of 14 cases with maximum diameters over 41 mm died.…”

Section: ) Volume Of the Hematoma And Recovery (Tables 6 And 7)mentioning

confidence: 93%

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Factors affecting the prognosis in thalamic hemorrhage.

Kwak¹,

Kadoya²,

Suzuki³

1983

Stroke

192

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The present study deals with the factors affecting the prognosis in the acute stage of 29 cases with hypertensive thalamic hemorrhage diagnosed by CT scan. It was thought that the following factors were significantly related to the outcome of the patients who were unable to lead daily life, remained in vegetative state or died: (1) consciousness level was below 10 in the so-called 3-3-9 formula, (2) bilateral Babinski's signs were observed, (3) localization of the hematoma was all the thalamic nuclei type, (4) hematoma volume was above 10 ml, (5) the maximum dimension of hematoma was over 30 or 35 mm, maximum width over 30 mm, maximum length over 25 mm and maximum height over 30 or 40 mm, and (6) the ventricles were dilatated. The prognosis had no significant relationship with the age of the patients, the side of the hematoma, the presence or the absence of ventricular penetration of the hematoma, or the existence of midline shift. We believe that in the acute stage of hypertensive thalamic hemorrhage, the prognosis can be forecasted by neurological findings, accurate calculation of the hematoma volume and size, localization of the hematoma and presence or absence of ventricular dilatation as determined by CT scan.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: ) Volume Of the Hematoma And Recovery (Tables 6 And 7)mentioning

confidence: 93%

See 1 more Smart Citation

Factors affecting the prognosis in thalamic hemorrhage.

Kwak¹,

Kadoya²,

Suzuki³

1983

Stroke

192

View full text Add to dashboard Cite

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“…The metabolic depression in thalamic hemorrhages is more extensive and persistent than in putaminal hemorrhages, which probably accounts for the reduced CBF and worse outcome in thalamic hemorrhages. While several studies have quoted a size of 3.3 cm as a determinant for survival in patients with thalamic hemorrhages [38][39][40] in a prospective trial that included 100 patients there were three survivors with hematomas larger than 3.3 cm who were able to lead independent lives [41]. However, sizes of the hematoma and intraventricular extension were two major factors that were found to correlate with the eventual outcome.…”

Section: Presentationmentioning

confidence: 99%

Intracerebral Hematoma

Kutty¹

2017

Hemorrhagic Stroke - An Update

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Intracerebral hematoma occurs in about 35/100,000 population and the incidence is likely increase over the next few decades as the population ages. The most common causes are hypertension and amyloid angiopathy. Bleeds due to these two causes are classified as primary while all other causes, such as AVM bleeds, coagulopathies, and so on, are classified as secondary. Primary tissue damage due to the intracerebral hematoma is followed by edema, neuronal damage, and secondary damage due to cellular breakdown. Basal ganglia are the most common site of intracerebral hemorrhage, accounting for nearly 50% of cases. CT scan, CT angiogram, DSA, and MRI are the investigations of choice. The initial management is medical, with control of blood pressure and antiedema measures forming the mainstay of treatment. Surgical option includes external ventricular drainage, endoscopic evacuation of hematoma, craniotomy and evacuation of hematoma, and decompressive craniectomy and is usually reserved for patients who deteriorate while on treatment.

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“…Intracerebral hemorrhage (ICH) constitutes 10% to 15% of all strokes and has a higher risk of morbidity and mortality then cerebral infarction and subarachnoid hemorrhage (SAH) 5 . The 30 day mortality ranges between 30% to 40% in hospital based studies 6,7 . Modifiable risk factors that increase the incidence of stroke include hypertension, smoking, alcohol, diabetes, dyslipidemia [8][9][10] beside some non-modifiable risk factors 11,12 .…”

Section: Introductionmentioning

confidence: 99%

Prognostic Factors in Intracerebral Hemorrhage: A Hospital Based Prospective Study

Goswami¹,

Sharma²,

Das³

et al. 2016

IJMRP

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Introduction: Intracerebral hemorrhage (ICH), a form of stroke syndrome results from the rupture of an intracerebral vessel leading to the development of a hematoma in the substance of the brain. Incidence rates are particularly high in Asians and Blacks. Attempts are made to prognosticate ICH patients and manage them accordingly. This is particularly important for the socio-economic profile of the patients availing our services. Methods: All together 90 patients of ICH were taken up in this study done in Gauhati Medical College and Hospital during the period from July 2013 to June 2015. Patients were diagnosed on the basis of a thorough medical history, a full neurological examination, standardized blood tests and CT scan of the brain. Prognostication was done on the basis of clinical and radiological findings. Prognosis was assessed as good or bad outcome on the 15th day based on neurological examination. Statistical analysis was done by using the chi-square test, fisher's t-test and student's t-test wherever applicable. Results: In our study 35.55% patients showed bad outcome. Increasing age, low level of consciousness, low GCS score, bilateral limb weakness, high blood pressure, gaze palsies, pupillary abnormalities and CT brain findings of higher volume (>=30 ml) of hematoma, midline shift, intraventricular extension and a high ICH score were associated with bad outcome.

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Thalamic hemorrhage

Cited by 126 publications

References 0 publications

Factors affecting the prognosis in thalamic hemorrhage.

Factors affecting the prognosis in thalamic hemorrhage.

Intracerebral Hematoma

Prognostic Factors in Intracerebral Hemorrhage: A Hospital Based Prospective Study

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