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The relationship between clinical symptoms and extention of the hematoma on CT in patients with hypertensive thalamic hemorrhage
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- Shizuka Masahiko
- Department of Neurosurgery Institute of Brain and Blood Vessels, Mihara Memorial Hospital M.D.
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- Nagata Ken
- Department of Neurosurgery Institute of Brain and Blood Vessels, Mihara Memorial Hospital M.D.
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- Yunoki Kazuta
- Department of Neurosurgery Institute of Brain and Blood Vessels, Mihara Memorial Hospital M.D.
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- Araki Goro
- Department of Neurosurgery Institute of Brain and Blood Vessels, Mihara Memorial Hospital M.D.
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- Mizukami Masahiro
- Department of Neurology Mihara Memorial Hospital M.D.
Bibliographic Information
- Other Title
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- 視床出血-CT上の血腫の拡がりと臨床症状の解析-
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Description
Seventy-one cases of hypertensive thalamic hemorrhage were studied with special reference to neurological symptoms and extention of the hematoma on CT.<BR>The patients were classified into three groups according to CT findings; thirty cases had hematomas localized in the thalamus, twenty had small intraventricular hematomas and twenty-one had large intraventricular hematomas.<BR>All the patients with intraventricular hematoma showed the neuro-ophthalmological manifestations which were described by Fisher; Mitotic pupils, anisocoria, absence of light reflex and downward ocular deviation. Among them. anisocoria that the pupil on the side of hemorrhage was larger was considered to be a poor prognostic sign.<BR>Twenty-two patients were able to move their fingers although they were not able to move their shoulder or elbow joint in the early stage, and/or their hemipareses were improved from the distal portion of the extremities in advance of the proximal portion in the stage of recovery. This type of hemiparesis was previously unrecognized in the patients with thalamic hemorrhage and we would propose to call it “thalamic hemiparesis”.
Journal
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- Japanese Journal of Stroke
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Japanese Journal of Stroke 2 (3), 255-261, 1980
The Japan Stroke Society
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Keywords
Details 詳細情報について
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- CRID
- 1390282679615614848
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- NII Article ID
- 130003439002
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- ISSN
- 18831923
- 09120726
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed
