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.
To view the complete clinical summary, click here.
MedLink Neurology authors are always at work to bring you broad and up-to-date coverage of neurology topics. We are pleased to highlight clinical summaries that have been recently added or updated and to introduce the authors who write these authoritative articles. We hope you enjoy these overviews and appreciate the contributions of our more than 450 authors who keep MedLink Neurology the premier information resource for neurologists.