[Ruptured aneurysms of the middle cerebral artery with intracerebral hematoma. CT findings and outcome]
| Autor: | Shigeo Inomori, Pak Shinsa, Shinsuke Ueda, Kim Ilu |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Ruptured aneurysms Temporal lobe Middle cerebral artery aneurysm Hematoma medicine.artery medicine Humans cardiovascular diseases Cerebral Hemorrhage medicine.diagnostic_test Rupture Spontaneous business.industry Intracranial Aneurysm Middle Aged medicine.disease Intracerebral hematoma Surgery body regions surgical procedures operative Frontal lobe Middle cerebral artery Angiography cardiovascular system Female Neurology (clinical) Radiology business Tomography X-Ray Computed |
| Zdroj: | Neurologia medico-chirurgica. 24(8) |
| ISSN: | 0470-8105 |
| Popis: | Twenty-one cases of ruptured middle cerebral artery aneurysm with intracerebral hematoma were studied. The age distribution ranged from 16 to 68, with an average of 48 years. Fifteen were female, 6 male. Computerized tomography (CT) scans were performed within 24 hours after the onset in 19. Diagnosis was established by angiography or surgery. Seventeen patients were operated on, whereas 4 were not because their condition was too poor. CT showed hematoma in the Sylvian fissure and the temporal lobe in a section 30 mm above the orbitomeatal line. Extension of the hematoma was to the frontal lobe anteriorly and/or the temporal lobe posterosuperiorly. The site of hematoma was related to the direction of the aneurysmal projection. Cases were divided into the following three groups: Group I; cases with the temporal lobe hematoma. Group II; cases with hematoma extending to both the frontal and temporal lobes. Group III; cases with hematoma in the frontal lobe. All of the 14 cases in Group I underwent operation. Mortality was 14%. Morbidity was correlated to the size of hematoma. The outcome was good in cases with hematoma less than 40 mm in diameter. Four out of 6 cases of Group II were not operated on and died within 3 days after onset. Uncal herniation was suspected early in their course. Of two operated cases, one died and the other was severely disabled. Outcome in one case of Group III was good. This study suggests that outcome can be anticipated from CT findings. |
| Databáze: | OpenAIRE |
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