An Analysis of Factors Related to the Shape of Hypertensive Intracerebral Hematoma and Its Clinical Significance

ABSTRACT

Eighty three cases of hypertensive intracerebral hemorrhage were retrospectively analyzed with a special emphasis on the shape of the hematoma. The hematomas were classified according to the computerized tomography(CT) findings into three groups as circumscribed hematoma with smooth margin and minimal surrounding edema(Type A). circumscribed hematoma with irregular margin and variable surrounding edema(Type B), and highly destructive hematoma with very irregular margin and usually with severe surrounding edema(Type C). The types of the hematoma were unrelated to the patient's age, blood pressure on arrival, serum triglyceride and cholesterol, liver function(except for SGOT), and coagulation study, and location as seen on CT, but were significantly related to the amount of the hematoma. Type A showed relatively better outcome than type B or type C, and type C invariably showed the poorest outcome.