Clinical discriminators of lobar and deep hemorrhages

The stroke data bank

A. R. Massaro, Ralph L Sacco, J. P. Mohr, M. A. Foulkes, T. K. Tatemichi, T. R. Price, D. B. Hier, P. A. Wolf

Research output: Contribution to journalArticle

78 Citations (Scopus)

Abstract

Of the 1,805 patients with acute stroke enrolled in the Stroke Data Bank, 237 had parenchymatous hemorrhage. After excluding 34 secondary intracerebral and 31 infratentorial hemorrhage patients, a logistic regression analysis of the 172 patients with primary supratentorial intracerebral hemorrhage (ICH) elucidated clinical factors that distinguished the 65 patients with lobar hemorrhage (LH) from the 107 patients with deep hemorrhage (DH) located in the basal ganglia and thalamus. In LH, severe headache was more common than in DH, while hypertension and motor deficit were significantly less common. Patients with either LH or DH had a similar prognosis and mean Glasgow Coma Scale (GCS) scores, despite the hematoma volume measured on the the initial CT being significantly greater for LH than DH. The presence of intraventricular extension (IVH) was more frequent in DH. The frequency of IVH increased with hematoma volume in LH, but remained constant for DH. Two CT variables (IVH and hematoma volume) that differed in these two hemorrhage groups were important predictors of coma (GCS ≤8) in a logistic regression model. Differences in the frequency of IVH may help explain why the degree of impairment in consciousness was similar in the two groups. Among patients with supratentorial ICH, location of the hematoma is related to both volume and IVH, which are important determinants of the level of consciousness.

Original languageEnglish
Pages (from-to)1881-1885
Number of pages5
JournalNeurology
Volume41
Issue number12
StatePublished - Dec 1 1991
Externally publishedYes

Fingerprint

Stroke
Databases
Hemorrhage
Hematoma
Glasgow Coma Scale
Logistic Models
Cerebral Hemorrhage
Consciousness
Coma
Basal Ganglia
Thalamus
Headache
Regression Analysis
Hypertension

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Massaro, A. R., Sacco, R. L., Mohr, J. P., Foulkes, M. A., Tatemichi, T. K., Price, T. R., ... Wolf, P. A. (1991). Clinical discriminators of lobar and deep hemorrhages: The stroke data bank. Neurology, 41(12), 1881-1885.

Clinical discriminators of lobar and deep hemorrhages : The stroke data bank. / Massaro, A. R.; Sacco, Ralph L; Mohr, J. P.; Foulkes, M. A.; Tatemichi, T. K.; Price, T. R.; Hier, D. B.; Wolf, P. A.

In: Neurology, Vol. 41, No. 12, 01.12.1991, p. 1881-1885.

Research output: Contribution to journalArticle

Massaro, AR, Sacco, RL, Mohr, JP, Foulkes, MA, Tatemichi, TK, Price, TR, Hier, DB & Wolf, PA 1991, 'Clinical discriminators of lobar and deep hemorrhages: The stroke data bank', Neurology, vol. 41, no. 12, pp. 1881-1885.
Massaro AR, Sacco RL, Mohr JP, Foulkes MA, Tatemichi TK, Price TR et al. Clinical discriminators of lobar and deep hemorrhages: The stroke data bank. Neurology. 1991 Dec 1;41(12):1881-1885.
Massaro, A. R. ; Sacco, Ralph L ; Mohr, J. P. ; Foulkes, M. A. ; Tatemichi, T. K. ; Price, T. R. ; Hier, D. B. ; Wolf, P. A. / Clinical discriminators of lobar and deep hemorrhages : The stroke data bank. In: Neurology. 1991 ; Vol. 41, No. 12. pp. 1881-1885.
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