Lobar cerebral hemorrhages: Acute clinical syndromes in 26 cases

Lobar cerebral hemorrhages: Acute clinical syndromes in 26 cases
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脑叶出血急性临床综合征26例

DOI:
10.1002/ana.410080203
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发表时间:
1980
影响因子:
11.2
通讯作者:
K. Davis
K. Davis
中科院分区:
医学1区
文献类型:
--
作者:
A. Ropper;K. Davis

文献摘要

被引文献

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本文报告26例自发性脑出血的急性症状和CT表现。枕部出血(11例)引起同侧眼周围剧烈疼痛和浓密偏盲。左侧颞叶出血(7例)起病于耳前或耳前轻度疼痛,言语流畅,听理解能力差,但重复性较好,视功能障碍轻于偏盲。额部出血(4例)以严重的对侧手臂无力、轻微的小腿和面部无力及额部头痛为首发症状。顶叶出血3例,起病于前颞部(“太阳穴”)头痛和偏侧感觉障碍,有时累及躯干至中线。1例患者右侧颞叶出血。
The acute syndromes and CT findings are described in 26 cases of spontaneous cerebral hemorrhage. Occipital hemorrhage (11 cases) caused severe pain around the ipsilateral eye and dense hemianopia. Left temporal hemorrhage (7 cases) began with mild pain in or just anterior to the ear, fluent dysphasia with poor auditory comprehension but relatively good repetition, and a visual deficit subtending less than a hemianopia. Frontal hemorrhage (4 cases) caused a distinctive syndrome beginning with severe contralateral arm weakness, minimal leg and face weakness, and frontal headache. Parietal hemorrhage (3 cases) began with anterior temporal (“temple”) headache and hemisensory deficit, sometimes involving the trunk to the midline. One patient had a right temporal hemorrhage.