視床出血の血腫量と予後との相関

概要

論文の詳細を見る
A method of determining the prognosis for thalamic hemorrhage was tested in 36 patients with this disorder. The volume and the location of the hematomas were disclosed by computed tomography scans. In the group of small-volume hematomas (≦20 ml; 25 patients), the quoad vitam outcome was good, so the quoad functionem outcome in this group was very important. The clinical manifestations and outcomes differed because the locations of the hematomas differed, although they were almost identical in volume. Thus, the small-volume thalamic hemorrhages were classified according to the affected thalamic nuclei. It was found that this method of classifying small-volume thalamic hemorrhages is a reliable prognostic indicator for small-volume thalamic hemorrhages, and that the main prognostic determinants for such hemorrhages are the volume and location of the hematoma. In the group of the large-volume hematomas (>25 ml; 9 patients), the quoad vitam outcome was very severe under conservative treatment.
日本脳神経外科学会の論文
1987-10-15