| 시상출혈의 임상적 관찰
(예후에 영향을 미치는 인자를 중심으로)
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| 유경무, 이상도,서정규,박영춘 |
| 계명대학교 신경과. |
| Clinical Studies on Thalamic Hemorrhage : Factors Affecting the Prognosis |
| Kyung-Mu Yoo, M.D., Sang-Do Yi, M.D., Chung-Kyu Suh, M.D., Young-Choon Park, M.D. |
| Department of Neurology, Keimyung University School of Medicine |
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| Abstract |
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Clinical studies were made on 37 cases with thalamic hemorrhage diagnosed by computed tomographic scan and only localized on the thalamic area, were admitted to the Keimyung University Dongsan hospital from January 1981, to December 1985. The age and sex distribution, symptoms and neurologic signs on admission, relationship between the hospital course and many factors affecting the prognosis such as age, side of lesion, level of consciousness, volume of the hematoma, degree of hydrocephalus and ventricular hemorrhage were analysed.
The results were summarized as follows;
1. The most prevalent age group was above 51 years of age with 41-50 years, 21-30
years and 31-40 years of age in the order of frequency. Male to female ratio was 15:22.
2. The clinical symptoms on admission in the order of frequency were the impairment
of consciousness, headache, nausea and vomiting, speech disturbance and hemiparesis,
dizziness and voiding difficulties. The neurologic signs on admission showed
hemiparesis, hyperreflexia, and positive Babinski sign, impaired consciousness,
hemisensory deficit, central facial nerve palsies, dysarthria, sluggish and unreactive light
reflex, small pupil and absent gag reflex, impaired vertical gaze, papilledema, aphasia
and abducens nerve palsies in that order.
3. The hospital course had no significant relationship with the age of the patients and
the side of hematoma but there was a significant relationship between the alert-drowsy
group and the stuporcoma group (P<0.01).
4. The hospital course had no significant relationship with the degree of volume of
hematoma and hydrocephalus. The hospital course had a significant relationship with
ventricular hemorrhage (P<0.05) but the hospital course of the improved group had no
significant tendency to the rate of improvement. |
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