Clinical and prognostic considerations in thalamic hemorrhage. Clinical study on 117 cases

• Published in: Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi Vol. 112; no. 2; p. 366
• Main Authors: Whael, K, Stefanache, Felicia, Hodorog, Diana Nicoleta
• Format: Journal Article
• Language: Romanian
• Published: Romania 01.04.2008
• Subjects: Adult; Aged; Cerebral Hemorrhage - complications; Cerebral Hemorrhage - diagnosis; Cerebral Hemorrhage - diagnostic imaging; Electroencephalography; Female; Headache - etiology; Humans; Hypertension - complications; Male; Middle Aged; Neurologic Examination; Predictive Value of Tests; Prognosis; Prospective Studies; Pupil Disorders - etiology; Risk Factors; Severity of Illness Index; Thalamic Diseases - complications; Thalamic Diseases - diagnosis; Thalamic Diseases - diagnostic imaging; Thalamus - diagnostic imaging; Tomography, X-Ray Computed
• ISSN: 0048-7848

Intracerebral hemorrhage located in the thalamus is one of the most frequent forms of hemorrhagic stroke in hypertensive patients. In this study the authors investigated the most important aspects related to thalamic hemorrhage : risk factors, initial signs, neurologic and EEG findings, the prognostic impact of the presence or absence of ventricular penetration, as well as the extension of hematoma. 117 patients with thalamic hemorrhage confirmed by cerebral computerized tomography were included in the study. Hypertension was the most significant risk factor in our patients. Headache was the most common early clinical symptom, while pyramidal signs were the most frequent findings at neurological examination. Patients with hemorrhagic extension to the putamen had the worst prognosis for stroke.