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Stroke, Vol 17, 51-57, Copyright © 1986 by American Heart Association

ARTICLES

Lobar intracerebral hemorrhage: etiology and a long-term follow-up study of 32 patients

Y Tanaka, M Furuse, H Iwasa, T Masuzawa, K Saito, F Sato and Y Mizuno

Thirty-two patients with lobar hematoma were encountered during a period of six and a half years. Of these patients, 13 had arterial hypertension, 7 had other etiologies, and the remaining 12 were without apparent etiology. In 5 of these patients, cryptic angiomas were suspected from angiograms and CT scans. In one young patient, there was a later recurrence of hemorrhage that resulted in death. Our experience in this series and a review of the literature have led us to conclude that, in young normotensive patients with lobar hematoma, surgical intervention may be a reasonable consideration so that evacuation of the hematoma may be accomplished and a detailed search for small angiomatous malformations may be carried out with a view to preventing recurrences.

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