Weisberg L A, Stazio A
Department of Neurology and Psychiatry of the Tulane Medical School, New Orleans.
Neuroradiology. 1988;30(6):500-5. doi: 10.1007/BF00339690.
Correlation of lesion location and appearance with clinical sequelae in 25 patients with CT-proven frontal lobe hematomas reveals 10 of 25 hematomas were located above the frontal horns of the lateral ventricles. Nine of the 10 patients were normotensive. All presented with contralateral motor and sensory deficits. Four of 25 hematomas were situated inferior to the frontal horns. All these patients were hypertensive, rapidly became comatose and exhibited hemiplegia, hemianesthesia and gaze preference contralateral to the hemiplegia. Five patients had frontal hematomas which extended inward from the interhemispheric fissure or caval-septal region. All were normotensive. All had anterior cerebral-anterior communicating artery aneurysms on angiography. Four patients had hematomas involving both the frontal and temporal region. All were normotensive with no known cause for hemorrhage. Two patients had bifrontal hematomas; one had butterfly appearance extending across the interhemispheric fissure and the other was midline but had no interhemispheric blood. Both were normotensive. One had an anterior cerebral-anterior communicating artery aneurysm.
对25例经CT证实为额叶血肿患者的病变位置和表现与临床后遗症的相关性研究显示，25例血肿中有10例位于侧脑室额角上方。这10例患者中有9例血压正常。所有患者均出现对侧运动和感觉障碍。25例血肿中有4例位于额角下方。所有这些患者均为高血压患者，迅速陷入昏迷，并表现出偏瘫、偏身感觉障碍以及与偏瘫对侧的凝视偏好。5例患者的额叶血肿从大脑镰旁或脑池 - 隔区向内延伸。所有患者血压均正常。血管造影显示所有患者均有大脑前 - 前交通动脉瘤。4例患者的血肿累及额叶和颞叶区域。所有患者血压均正常，无已知出血原因。2例患者为双侧额叶血肿；1例呈跨越大脑镰的蝶形外观，另1例位于中线但大脑镰间无血液。两者血压均正常。其中1例有大脑前 - 前交通动脉瘤。
