Iwasaki Y, Kinoshita M
Department of Fourth Internal Medicine, Toho University Ohashi Hospital, Tokyo, Japan.
Comput Med Imaging Graph. 1989 Mar-Apr;13(2):195-8. doi: 10.1016/0895-6111(89)90200-0.
Eighteen patients with subcortical lobar hematomas were reviewed. Arterial hypertension was the leading cause and three had arteriovenous malformation and were treated surgically. More than half of cases had hematomas of either the temporooccipital or occipital lobes. Common neurologic findings were headaches, vomiting, alertness, dysarthria, hemiparesis and hemianopsia. All patients survived and had better resolution of neurological deficits, suggesting that surgical intervention is not necessary.
对18例皮质下叶血肿患者进行了回顾性研究。动脉高血压是主要病因，3例患有动静脉畸形并接受了手术治疗。超过半数的病例血肿位于颞枕叶或枕叶。常见的神经学表现为头痛、呕吐、意识清醒、构音障碍、偏瘫和偏盲。所有患者均存活，神经功能缺损有更好的恢复，提示无需手术干预。
