基底核部出血軽症例における運動および言語機能の予後評価:-CT所見との対比-

概要

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The precies prediction of results of the basal ganglionic hemorrhage is essential for the indication of surgical treatment, especially in mild cases. In this paper, authors reviewed 16 mild cases with basal ganglionic hemorrhage, including 5 operated cases. Motor palsies, speech disturbances and their results were evaluated, comparing the findings of computed tomography (CT) in each cases. In cases with hematoma extending into the junction of posterior limb of internal capsule (CPI) and cerebral peduncle (PC), the recovery from motor palsy could not be expected. In cases with hematoma extending into coronal radiation, motor palsy was moderate and the result of the evacuation of hematoma was better than that of conservative treatment. In cases with hematoma localizing in putaminal area, or with hematoma extending only laterally, we could expect excellent result event by the conservative treatment. Nine cases were evidenced hematoma in the dominant hemisphere, and 5 of them showed aphasia. As for these aphasics, two cases, whose hematoma extended to the junction of posterior limb of CPI and PC, made no recovery in speech function even by surgical nor conservative treatment. The other three cases showed good result, one by evacuation of hematoma. In the latter cases, the hematomas did not extend into the junction.
The Japanese Society on Surgery for Cerebral Strokeの論文