Kanno T, Kagawa Y, Katada K, Shah M, Sano K
No Shinkei Geka. 1977 Jun;5(6):567-72.
Classification of intracerebral hematoma (lateral type) with C.T. was tried. And also, the relationship among the location of the hematoma, the shift of the lenticulostriate arteries and the prognosis of hemiparesis was verified. The results were as follows; 1) The location of the hematoma was classified into four types: 1. anterior type (the hematoma mainly located in the anterior limb of internal capsula). 2. Posterior type (the hematoma mainly located in the posterior limb of internal capsula). 3. lateral type (the hematoma mainly located just below the insula). 4. spread to the all direction type. 2) The lenticulostriate arteries was divided into three portions: L1 portion is the part from the origin at the middle cerebral artery to the knee point, L3 is the part of the distal portion of the lenticulostriate arteries, and L2 portion in the part between L1 and L3 portions. L1 portion was mainly shifted medially in the anterior type of the hematoma. L2 portion was mainly shifted medially in the lateral type of the hematoma. L3 portion was mainly shifted in the posterior type of the hematoma. L1, L2, L3, all portions were shifted medially in the type in which the hematoma spread to all directions 3) The prognosis of the hemiparesis was best in the lateral type of the hematoma, and next in the anterior type. In the posterior type and all spread type, it was worst.
尝试用计算机断层扫描（CT）对脑内血肿（外侧型）进行分类。同时，验证血肿位置、豆纹动脉移位与偏瘫预后之间的关系。结果如下：1）血肿位置分为四种类型：1. 前型（血肿主要位于内囊前肢）。2. 后型（血肿主要位于内囊后肢）。3. 外侧型（血肿主要位于岛叶下方）。4. 向各方向扩散型。2）豆纹动脉分为三部分：L1部分是从中脑动脉起始处到膝点的部分，L3是豆纹动脉远端部分，L2部分是L1和L3部分之间的部分。在血肿前型中，L1部分主要向内移位。在血肿外侧型中，L2部分主要向内移位。在血肿后型中，L3部分主要移位。在血肿向各方向扩散型中，L1、L2、L3所有部分均向内移位。3）血肿外侧型偏瘫预后最佳，其次是前型。在后型和全扩散型中，预后最差。
