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Journal of Korean Neurosurgical Society 1990;19(2): 188-196. |
| Factors Affecting the Prognosis in Hypertensive Thalamic Hemorrhage. |
| Yong Jae Lee, Hack Gun Bae, Kyeong Seok Lee, Il Gyu Yun, In Soo Lee |
| Department of Neurosurgery, Soonchunhyang University Chonan Hospital, Chonan, Korea. |
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| ABSTRACT |
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The authors reviewed 114 patients with hypertensive thalamic hemorrhage diagnosed by CT scan, and analyzed the factors affecting the prognosis in acute stage of 76 patients who were selected by our criteria. The overall mortality was 26.3%. The isolated hemorrhage within thalamus represented 22.8% and showed 100% survivability of ADL(ability in daily life) 3 or above. The mortality of the other that were extended to internal capsule or midbrain, was 35.7%. The factors affecting poor prognosis were as follows : 1) poor conscious level on admission ; 2) the hematoma on left side in location ; 3) hemorrhagic groups that were extended to internal capsule with intraventricular hemorrhage, midbrain, or both ; 4) the presence of ventricular penetration or dilatation ; 5) the hematoma volume of 10cc or above ; 6) the maximum diameter of 33mm or above ; 7) the maximum height of 40mm or above. The prognosis had no significant relationship with the age. |
| Key Words:
Thalamic hemorrhage; Factors; Prognosis; Ventricular penetration; Ventricular dilatation; Hematoma volume |
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