Whael K, Stefanache Felicia, Hodorog Diana Nicoleta
Spitalul Clinic de Urgenţă N Oblu Iaşi,m Clinica I Neurologie, Universitatea de Medicină si Farmacie Gr T Popa" Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2008 Apr-Jun;112(2):366-70.
Intracerebral hemorrhage located in the thalamus is one of the most frequent forms of hemorrhagic stroke in hypertensive patients. In this study the authors investigated the most important aspects related to thalamic hemorrhage : risk factors, initial signs, neurologic and EEG findings, the prognostic impact of the presence or absence of ventricular penetration, as well as the extension of hematoma.
117 patients with thalamic hemorrhage confirmed by cerebral computerized tomography were included in the study.
Hypertension was the most significant risk factor in our patients. Headache was the most common early clinical symptom, while pyramidal signs were the most frequent findings at neurological examination. Patients with hemorrhagic extension to the putamen had the worst prognosis for stroke.
丘脑脑出血是高血压患者出血性卒中最常见的形式之一。在本研究中，作者调查了与丘脑出血相关的最重要方面：危险因素、初始体征、神经学和脑电图检查结果、有无脑室穿破的预后影响以及血肿范围。
本研究纳入了117例经脑计算机断层扫描确诊为丘脑出血的患者。
高血压是我们研究患者中最重要的危险因素。头痛是最常见的早期临床症状，而锥体束征是神经学检查中最常见的发现。出血扩展至壳核的患者卒中预后最差。
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