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Clinical – Radiological Correlates in Intracerebral Hematomas due to Aneurysmal Rupture

Published online by Cambridge University Press:  18 September 2015

B.G. Benoit ,
D.D. Cochrane ,
F. Durity ,
G.G. Ferguson ,
D. Fewer ,
K.M. Hunter ,
M.I. Khan ,
G. Mohr ,
A.R. Watts  and
B.K.A. Weir
...Show all authors
B.G. Benoit
Affiliation:
the Departments or Divisions of Neurosurgery: Ottawa Civic Hospital, Foothills Hospital (Calgary), Vancouver General Hospital, University Hospital (London), St. Boniface Hospital (Winnipeg), Calgary General Hospital, University Hospital (Saskatoon), Hôpital Notre-Dame (Montreal), Plains Health Centre (Regina), University Hospital (Edmonton), Victoria General Hospital (Halifax)
D.D. Cochrane
Affiliation:
the Departments or Divisions of Neurosurgery: Ottawa Civic Hospital, Foothills Hospital (Calgary), Vancouver General Hospital, University Hospital (London), St. Boniface Hospital (Winnipeg), Calgary General Hospital, University Hospital (Saskatoon), Hôpital Notre-Dame (Montreal), Plains Health Centre (Regina), University Hospital (Edmonton), Victoria General Hospital (Halifax)
F. Durity
Affiliation:
the Departments or Divisions of Neurosurgery: Ottawa Civic Hospital, Foothills Hospital (Calgary), Vancouver General Hospital, University Hospital (London), St. Boniface Hospital (Winnipeg), Calgary General Hospital, University Hospital (Saskatoon), Hôpital Notre-Dame (Montreal), Plains Health Centre (Regina), University Hospital (Edmonton), Victoria General Hospital (Halifax)
G.G. Ferguson
Affiliation:
the Departments or Divisions of Neurosurgery: Ottawa Civic Hospital, Foothills Hospital (Calgary), Vancouver General Hospital, University Hospital (London), St. Boniface Hospital (Winnipeg), Calgary General Hospital, University Hospital (Saskatoon), Hôpital Notre-Dame (Montreal), Plains Health Centre (Regina), University Hospital (Edmonton), Victoria General Hospital (Halifax)
D. Fewer
Affiliation:
the Departments or Divisions of Neurosurgery: Ottawa Civic Hospital, Foothills Hospital (Calgary), Vancouver General Hospital, University Hospital (London), St. Boniface Hospital (Winnipeg), Calgary General Hospital, University Hospital (Saskatoon), Hôpital Notre-Dame (Montreal), Plains Health Centre (Regina), University Hospital (Edmonton), Victoria General Hospital (Halifax)
K.M. Hunter
Affiliation:
the Departments or Divisions of Neurosurgery: Ottawa Civic Hospital, Foothills Hospital (Calgary), Vancouver General Hospital, University Hospital (London), St. Boniface Hospital (Winnipeg), Calgary General Hospital, University Hospital (Saskatoon), Hôpital Notre-Dame (Montreal), Plains Health Centre (Regina), University Hospital (Edmonton), Victoria General Hospital (Halifax)
M.I. Khan
Affiliation:
the Departments or Divisions of Neurosurgery: Ottawa Civic Hospital, Foothills Hospital (Calgary), Vancouver General Hospital, University Hospital (London), St. Boniface Hospital (Winnipeg), Calgary General Hospital, University Hospital (Saskatoon), Hôpital Notre-Dame (Montreal), Plains Health Centre (Regina), University Hospital (Edmonton), Victoria General Hospital (Halifax)
G. Mohr
Affiliation:
the Departments or Divisions of Neurosurgery: Ottawa Civic Hospital, Foothills Hospital (Calgary), Vancouver General Hospital, University Hospital (London), St. Boniface Hospital (Winnipeg), Calgary General Hospital, University Hospital (Saskatoon), Hôpital Notre-Dame (Montreal), Plains Health Centre (Regina), University Hospital (Edmonton), Victoria General Hospital (Halifax)
A.R. Watts
Affiliation:
the Departments or Divisions of Neurosurgery: Ottawa Civic Hospital, Foothills Hospital (Calgary), Vancouver General Hospital, University Hospital (London), St. Boniface Hospital (Winnipeg), Calgary General Hospital, University Hospital (Saskatoon), Hôpital Notre-Dame (Montreal), Plains Health Centre (Regina), University Hospital (Edmonton), Victoria General Hospital (Halifax)
B.K.A. Weir*
Affiliation:
the Departments or Divisions of Neurosurgery: Ottawa Civic Hospital, Foothills Hospital (Calgary), Vancouver General Hospital, University Hospital (London), St. Boniface Hospital (Winnipeg), Calgary General Hospital, University Hospital (Saskatoon), Hôpital Notre-Dame (Montreal), Plains Health Centre (Regina), University Hospital (Edmonton), Victoria General Hospital (Halifax)
W.B. Wheelock
Affiliation:
the Departments or Divisions of Neurosurgery: Ottawa Civic Hospital, Foothills Hospital (Calgary), Vancouver General Hospital, University Hospital (London), St. Boniface Hospital (Winnipeg), Calgary General Hospital, University Hospital (Saskatoon), Hôpital Notre-Dame (Montreal), Plains Health Centre (Regina), University Hospital (Edmonton), Victoria General Hospital (Halifax)
*
11th Floor, Clinical Sciences Building, The University of Alberta, Edmonton, Alberta, Canada T6G 2G3
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In this series of intracerebral hematomas from aneurysmal rupture, gathered from several neurosurgical services, certain morphological features were studied in detail. Patients with very large hematomas tended to have poor neurological grades on admission to hospital and their immediate discharge outlook was correspondingly poor. Ruptured middle cerebral and pericallosal artery aneurysms were relatively common causes of intracerebral hematomas. Patients with temporal lobe hematoma did relatively well; those with parietal hematoma did poorly. The larger the hematoma the less chance there was of developing cerebral vasospasm but the more likely was pre-operative brain herniation. The survival was more closely linked to size and location of the hematoma than to the location of aneurysm or the degree of midline shift.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 9 , Issue 4 , November 1982 , pp. 409 - 414
Copyright
Copyright © Canadian Neurological Sciences Federation 1982

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