Resumos
Os autores revisam 58 casos de hemorragia localizada nos lobos cerebrais, observados entre 264 pacientes com hemorragia intracerebral em período de 6 anos. Os fatores etiológicos foram hipertensão em 29 pacientes, outras etiologias em 9; em 20 pacientes não se determinou a causa. Dentre os sintomas mais importantes observaram-se cefaléia em 56% e convulsão em 12% dos casos. Coma foi infrequente. Os sinais clínicos dependiam da localização do hematoma. O lobo parietal foi o mais afetado. A mortalidade foi de 8,6%. A evolução correlacionava-se ao tamanho do hematoma e ao nível de consciência à internação.
hemoragia lobar cerebral; clínica; etiologia; evolução
Fifty eight patients with spontaneous lobar hemorrhage of a 264 patients series with intracerebral hemorrhage seen during a six years period are reviewed. Twenty nine had arterial hypertension, 9 had other etiologies, and in the remaining 20 cases no apparent etiology was detected. Headache was a prominent symptom and occurred in 56%. Seizures occurred in 12%. Coma was infrequent. Clinical findings on admission depended on the location of the hematoma. Lobar hemorrhage occurred most commonly in the parietal region. Mortality rate was 8.6%. Size of hematoma (larger than 4 cm) on CT and altered consciousness on admission correlated with poor outcome.
lobar cerebral hemorrhage; clinics; etiology; follow-up
Mario E.T. DouradoI; Marcos L. FreitasI; J.L. Marti-VilaltaII
IMédico Residente (formado pela Universidade Federal do Rio Grande do Norte UFRN)
IIProfessor de Neurologia da UAB e Chefe de Clínica do Serviço de Neurologia
RESUMO
Os autores revisam 58 casos de hemorragia localizada nos lobos cerebrais, observados entre 264 pacientes com hemorragia intracerebral em período de 6 anos. Os fatores etiológicos foram hipertensão em 29 pacientes, outras etiologias em 9; em 20 pacientes não se determinou a causa. Dentre os sintomas mais importantes observaram-se cefaléia em 56% e convulsão em 12% dos casos. Coma foi infrequente. Os sinais clínicos dependiam da localização do hematoma. O lobo parietal foi o mais afetado. A mortalidade foi de 8,6%. A evolução correlacionava-se ao tamanho do hematoma e ao nível de consciência à internação.
Palavras-chave: hemoragia lobar cerebral, clínica, etiologia, evolução.
SUMMARY
Fifty eight patients with spontaneous lobar hemorrhage of a 264 patients series with intracerebral hemorrhage seen during a six years period are reviewed. Twenty nine had arterial hypertension, 9 had other etiologies, and in the remaining 20 cases no apparent etiology was detected. Headache was a prominent symptom and occurred in 56%. Seizures occurred in 12%. Coma was infrequent. Clinical findings on admission depended on the location of the hematoma. Lobar hemorrhage occurred most commonly in the parietal region. Mortality rate was 8.6%. Size of hematoma (larger than 4 cm) on CT and altered consciousness on admission correlated with poor outcome.
Key words: lobar cerebral hemorrhage, clinics, etiology, follow-up.
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Agradecimentos Ao Dr. E. Guardia (Neurorradiologia), ao Dr. B. Zurita (Neurocirurgia) e ao Dr. G. Mendonza (Neurologia).
Aceite: 06-setembro-1992.
Dr. Mario E.T. Dourado - Servicio de Neurología, Hospital de la Santa Creu i Sant Pau - Av. Maria Claret 167 - 08025 Barcelona - Espanha.
Estudo realizado no Serviço de Neurologia do Hospital de la Santa Creu i Sant Pau, Universitat Autonoma de Barcelona (UAB)
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Hemorragia cerebral lobar clínica, etiologia, evolução: revisão de 58 casos
Datas de Publicação
-
Publicação nesta coleção
19 Jan 2011 -
Data do Fascículo
Jun 1993