Weisberg L A, Stazio A, Shamsnia M, Elliott D
Department of Neurology and Psychiatry, Tulane Medical School, New Orleans, Louisiana.
Neuroradiology. 1990;32(2):137-41. doi: 10.1007/BF00588563.
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.
对30例颞叶血肿患者进行了分析。4例额叶扩展的患者存活。6例神经节扩展的患者中，3例有残留缺陷。8例顶叶扩展的患者中，4例出现延迟性恶化并死亡，2例患者康复，2例因多形性胶质母细胞瘤伴瘤周出血死亡。5例颞叶后部血肿患者康复。7例颞叶基底下部血肿患者中，血管造影显示3例有动脉瘤，2例有血管瘤，2例无血管病变。23例血管造影阴性且无颞叶血肿全身性病因的患者中，12例为高血压患者，11例为血压正常者。10例无慢性血管疾病证据的高血压患者血肿最大，扩展至顶叶或神经节区域。其中7例患者死亡；3例有残留缺陷。11例血压正常者和2例有慢性血管改变证据的高血压患者血肿较小。他们存活下来，功能恢复良好。
