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Japanese

RELATIONSHIP BETWEEN CT FINDINGS AND CONSCIOUSNESS IN PATIENTS WITH HYPERTENSIVE PUTAMINAL HEMORRHAGE Kanji Yamane 1 , Takashi Mikami 1 , Masaru Takahashi 1 , Kenji Shibata 1 , Satoshi Kuwabara 2 , Yoshihiko Uemura 3 1Division of Neurosurgery, Matsue Red Cross Hospital 2Department of Neurosurgery, Shimane Medical School 3Department of Neurosurgery, Kyoto University pp.1025-1030
Published Date 1984/10/1
DOI https://doi.org/10.11477/mf.1406205398
  • Abstract
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The authors studied 66 patients with hyperten-sive putaminal hemorrhage and ncted a close relationship between the CT classification accord-ing to the shape of the suprasellar cistern (S) and the third ventricle (III), and the state of altered consciousness : when S is not deformed and III is identified in CT images, the patient may be in a clear or confusional state ; if S is not deformed but III is not identified or is packed with hema-toma, consciousness may be somnolent or stupor-ous ; if S is deformed and III is not identified or is packed with hematoma, the patient may be in a semicomatose or comatose state.

However, within several hours after onset there are exceptional cases in which the states of consciousness do not correlate with the CT findings. In these cases, however, with conserva-tive therapy the state of consciousness correspond-ed well with the CT findings.

From the neurosurgical points of view, imme-diate removal of the hematoma is required when the patient's consciousness is relatively good despite of large hematoma. If at the acute stage the state of consciouness, which corresponded well with the CT findings at initial examination, has deteriorated, rebleeding or enlargement of hema-toma must be suspected.


Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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