丘脑出血：计算机断层扫描与临床的相关性

Thalamic hemorrhage: a computed tomographic-clinical correlation.

作者信息

Walshe T M, Davis K R, Fisher C M

出版信息

Neurology. 1977 Mar;27(3):217-22. doi: 10.1212/wnl.27.3.217.

DOI:10.1212/wnl.27.3.217

Abstract

An analysis has been made of the clinical manifestations in 18 cases of hypertensive thalamic hemorrhage diagnosed by computed tomography (CT). CT scans permitted accurate determination of the site, size, and extension of the hemorrhages. A sensorimotor hemiplegia or hemiparesis was present in all cases. Diagnostic clinical features included limitation of vertical gaze, downward deviation of the eyes, and small unreactive or sluggish pupils. All hemorrhages larger than 3.3 cm in diameter were fatal.

摘要

对18例经计算机断层扫描（CT）诊断为高血压性丘脑出血的临床表现进行了分析。CT扫描能够准确确定出血的部位、大小和范围。所有病例均出现感觉运动性偏瘫或轻偏瘫。诊断性临床特征包括垂直凝视受限、眼球向下偏斜以及瞳孔小、无反应或反应迟钝。所有直径大于3.3厘米的出血均导致死亡。