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Asymptomatic Intracerebral Hematoma as an Incidental Finding

Asymptomatic Intracerebral Hematoma as an Incidental Finding Abstract Tntracerebral hemorrhage is being diagnosed with increasing frequency in less severely ill "stroke" patients.1-3 An unexpected basal ganglia hemorrhage was diagnosed by computed tomographic (CT) scan in an asymptomatic 59-year-old woman. The scan was obtained as part of the diagnostic evaluation of a seizure disorder of 18 years' duration. This further expands the clinical spectrum of intracerebral hematoma. REPORT OF A CASE A 59-year-old right-handed woman came to the Strong Memorial Hospital Neurology Clinic, Rochester, NY, in January 1978 for evaluation of a seizure disorder. Her seizures began at age 41 years and were of the partial-complex type, with alteration of consciousness and motor automatisms. Seizures were controlled with phenytoin sodium, phenobarbital, and primidone. Several EEGs showed paroxysmal bitemporal slowing. She had a long history of treated hypertension, chronic renal failure, adequately treated syphilis (with a negative CSF VDRL), severe degenerative joint disease, and marked obesity.In searching References 1. Pineda A: Computed tomography in intracerebral hemorrhage . Surg Neurol 1977;8:55-58. 2. Caplan R, Mohr JP: Intracerebral hemorrhage: An update . Geriatrics 1978;33:42-45, 48-52. 3. Herman T, Satya-Murti S: Benign cerebellar hemorrhages . Ann Neurol 1978;3:366-368.Crossref 4. Scott WR, New PFJ, Davis KR, et al: Computerized axial tomography of intracerebral and intraventricular hemorrhage . Radiology 1974;112:73-80.Crossref 5. Hayward RD, O'Reilly GVA: Intracerebral hemorrhage . Lancet 1976;1:1-4.Crossref 6. Weisberg LA: Computerized tomography in Intracranial hemorrhage . Arch Neurol 1979;36:422-426.Crossref 7. Ojemann RG, Mohr JP: Hypertensive brain hemorrhage . Clin Neurosurg 1975;23:220-244. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Asymptomatic Intracerebral Hematoma as an Incidental Finding

Archives of Neurology , Volume 38 (6) – Jun 1, 1981

Asymptomatic Intracerebral Hematoma as an Incidental Finding

Abstract

Abstract Tntracerebral hemorrhage is being diagnosed with increasing frequency in less severely ill "stroke" patients.1-3 An unexpected basal ganglia hemorrhage was diagnosed by computed tomographic (CT) scan in an asymptomatic 59-year-old woman. The scan was obtained as part of the diagnostic evaluation of a seizure disorder of 18 years' duration. This further expands the clinical spectrum of intracerebral hematoma. REPORT OF A CASE A 59-year-old right-handed woman came to the...
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Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1981.00510060098026
Publisher site
See Article on Publisher Site

Abstract

Abstract Tntracerebral hemorrhage is being diagnosed with increasing frequency in less severely ill "stroke" patients.1-3 An unexpected basal ganglia hemorrhage was diagnosed by computed tomographic (CT) scan in an asymptomatic 59-year-old woman. The scan was obtained as part of the diagnostic evaluation of a seizure disorder of 18 years' duration. This further expands the clinical spectrum of intracerebral hematoma. REPORT OF A CASE A 59-year-old right-handed woman came to the Strong Memorial Hospital Neurology Clinic, Rochester, NY, in January 1978 for evaluation of a seizure disorder. Her seizures began at age 41 years and were of the partial-complex type, with alteration of consciousness and motor automatisms. Seizures were controlled with phenytoin sodium, phenobarbital, and primidone. Several EEGs showed paroxysmal bitemporal slowing. She had a long history of treated hypertension, chronic renal failure, adequately treated syphilis (with a negative CSF VDRL), severe degenerative joint disease, and marked obesity.In searching References 1. Pineda A: Computed tomography in intracerebral hemorrhage . Surg Neurol 1977;8:55-58. 2. Caplan R, Mohr JP: Intracerebral hemorrhage: An update . Geriatrics 1978;33:42-45, 48-52. 3. Herman T, Satya-Murti S: Benign cerebellar hemorrhages . Ann Neurol 1978;3:366-368.Crossref 4. Scott WR, New PFJ, Davis KR, et al: Computerized axial tomography of intracerebral and intraventricular hemorrhage . Radiology 1974;112:73-80.Crossref 5. Hayward RD, O'Reilly GVA: Intracerebral hemorrhage . Lancet 1976;1:1-4.Crossref 6. Weisberg LA: Computerized tomography in Intracranial hemorrhage . Arch Neurol 1979;36:422-426.Crossref 7. Ojemann RG, Mohr JP: Hypertensive brain hemorrhage . Clin Neurosurg 1975;23:220-244.

Journal

Archives of NeurologyAmerican Medical Association

Published: Jun 1, 1981

References