Schütz H J
Fortschr Neurol Psychiatr. 1985 Oct;53(10):355-62. doi: 10.1055/s-2007-1001980.
In 47 cases with thalamic hemorrhage the estimated volume and the extension of the hematoma was compared to clinical data. The critical blood volume above which the mortality rate markedly increased was 10 cc. The most unfavourable outcome was found in hematomas extending to the midbrain or causing extensive ventricular hemorrhage. The severity and characteristics of the neurological deficit depended on the extension of the hematoma as well. Aphasia was a common feature when the thalamic hemorrhage occurred in the dominant hemisphere. Thalamic syndrome and ocular abnormalities were rare. The mortality rate was 17% and increased to 32% within the limits of twelve months. After a mean observation period of 31 months over 60% of the survivors had no or minimal disabilities. Only 20% remained seriously handicapped. The degree of the remaining disabilities depended on the original blood-volume. Eighteen of 32 survivors were submitted to neuropsychological tests. Three patients had an amnestic syndrome.
对47例丘脑出血患者的血肿估计体积和范围与临床资料进行了比较。死亡率显著增加的临界出血量为10立方厘米。血肿延伸至中脑或引起广泛脑室出血时预后最差。神经功能缺损的严重程度和特征也取决于血肿的范围。当丘脑出血发生在优势半球时，失语是常见症状。丘脑综合征和眼部异常较少见。死亡率为17%，在12个月内升至32%。平均观察31个月后，超过60%的幸存者无残疾或残疾轻微。只有20%的人仍严重致残。剩余残疾程度取决于原始出血量。32名幸存者中的18人接受了神经心理学测试。3例患者有遗忘综合征。
