Gerontology

Clinical Section

A New Look at the Natural History and Clinical Features of Intracerebral Haemorrhage: A Clinical CT Scan Correlation

Dollberg S.a · Rosin A.J.b · Fisher D.b

Author affiliations

aHebrew University Hadassah Medical School, and bGeriatric Department, Shaare Zedek Medical Centre, Jerusalem, Israel

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Gerontology 1986;32:211–216

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Article / Publication Details

First-Page Preview
Abstract of Clinical Section

Received: January 20, 1986
Accepted: April 29, 1986
Published online: April 15, 2009
Issue release date: 1986

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 0

ISSN: 0304-324X (Print)
eISSN: 1423-0003 (Online)

For additional information: https://www.karger.com/GER

Abstract

Intracerebral haemorrhage (ICH), as documented in 77 patients by computerized tomographic (CT) scans, was studied with regard to presentation, neurological features and outcome. Death occurred in 34%, a lower figure than was thought in the pre-CT scan era, and comparable to reported series in the last 10 years. Survival was more common in patients with intralobar haemorrhage, in which there was a less close association with hypertension or with coma. Intraventricular haemorrhages carried a bad prognosis with 14 deaths out of the 24 patients thus diagnosed. Eighty-eight percent of the survivors returned home, and nearly half of them had almost normal function. The main negative prognostic factors as determined by discriminant analysis were: presentation with coma over several hours, abnormalities of pupils or eye movements, inability to be mobilized after an average of 4 days, large volume of haematoma as measured in CT scan and intraventricular bleeding. It is important to make the diagnosis in order not to give anticoagulant treatment inappropriately, and there should be awareness that ICH is more common than was previously thought.

© 1986 S. Karger AG, Basel




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Article / Publication Details

First-Page Preview
Abstract of Clinical Section

Received: January 20, 1986
Accepted: April 29, 1986
Published online: April 15, 2009
Issue release date: 1986

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 0

ISSN: 0304-324X (Print)
eISSN: 1423-0003 (Online)

For additional information: https://www.karger.com/GER


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