Spotlight on Lobar hemorrhage

Lobar hemorrhages occur either within the subcortical white matter or at the junction of the hemispheric gray-white matter. Cerebral amyloid angiopathy, anticoagulation, coagulopathies, fibrinolytic therapy, microbleeds, and vascular malformations are common causes; hypertension is a less common risk factor in lobar hemorrhage. Recombinant activated factor VII can limit ongoing bleeding and improve outcomes when administered within 3 hours. Surgical evacuation of hematoma is not beneficial. Hematoma size and Glasgow coma scale score are important determinants of prognosis. In this clinical summary, Dr. Ravindra Kumar Garg has reviewed in detail the various aspects of lobar intracerebral hemorrhage.

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