丘脑出血的临床、CT与预后相关性研究

Clinical Features and CT of Thalamic Hemorrhage and Their Significance in the Early Prediction of Functional Outcome

对４１例首次丘脑出血病人的临床及ＣＴ亚型特征，９０天ＡＤＬ表现的分析表明，丘脑出血最特征性的体征是垂直凝视麻痹和迟发性丘脑病综合征。丘脑出血可分４个血管亚型，后外侧型及出血量较大的内侧型功能恢复差；而背侧型障碍轻且持续短暂，功能恢复好；前外侧受累的病人可有类额叶症状；内侧型病人意识障碍明显。本组和预后有关的因素依次为：急性期意识水平、出血量大小和异常眼征（Ｐ＜０．００１）。

In order to better understand the relationship between the clinical features, topographic subgroups,and the functional outcome of thalnmic hemorrhag (TH) after 90 days, 41 patients with a single thalamic hemorrhage were studied. The characteristic features of TH included vertical gaze dysfunction and thalamic pain or Dejerine-Roussy Syndrome. All patients were divided into four topographic subgroups on CT. Sensorimotor deficits were prominent in patients with op^lateral and median subgrouP of TH, peicularly in the extended one, and ADL after 90 dayS were ~. ~ TH was characterized by mild and transient sensorimotor disturbances; in anterolateral TH, sensorimotor deficits were mild, while psychological deficits were prominent, both of the two subgroups got better ADL after 90 days. ADL were significantly correlated with the size of hematoma, as well as GCS and oculomotor deficits (P< 0.001 ).