Flügel K A, Fuchs H H, Huk W
Fortschr Med. 1982 Jul 1;100(25):1201-9.
Spontaneous intracerebral hematomas can be diagnosed immediately and localized exactly by the means of cranial computerized tomography. The occipital lobe is a relatively rare site of hypertensive hematomas which are the most frequent etiologic group. Out of 264 patients with intracerebral hematomas ion cranial computerized tomography we found the occipital lobes affected in 24 cases i.e. 9%. 116 patients with intracerebral hematomas treated in the neurologic clinic demonstrated in 15 cases (13%) occipital localization. In 7 patients bleedings were of hypertensive origin, in 4 cases etiology was unknown, in one case it originated from an arteriovenous angioma and in 3 cases congophilic (amyloid) angiopathy was the basic disease. In smaller occipital hematomas the clinical symptoms are relatively mild, mainly consisting of acute headache and hemianopsia. If the hematoma is limited to the occipital lobe the prognosis is favorable both with or without neurosurgical treatment.
自发性脑内血肿可通过头颅计算机断层扫描立即诊断并准确定位。枕叶是高血压性血肿相对少见的部位，而高血压性血肿是最常见的病因类型。在264例经头颅计算机断层扫描诊断为脑内血肿的患者中，我们发现24例（9%）枕叶受累。在神经科门诊治疗的116例脑内血肿患者中，有15例（13%）表现为枕叶定位。7例出血源于高血压，4例病因不明，1例源于动静脉血管瘤，3例以嗜刚果红（淀粉样）血管病为基础疾病。较小的枕叶血肿临床症状相对较轻，主要包括急性头痛和偏盲。如果血肿局限于枕叶，无论是否接受神经外科治疗，预后都较好。
