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KMID : 0359819950240080905
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 8 p.905 ~ p.911
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An Analysis of Factors Related to the Shape of Hypertensive Intracerebral Hemoatoma and Its Clinical Significance
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황성남
안영환/목진호/박간/김영백/민병국/석종식/최덕영
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Abstract
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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 of 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.
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KEYWORD
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