Lobar vs thalamic and basal ganglion hemorrhage: clinical and radiographic features

J Neurol. 1987 Feb;234(2):86-90. doi: 10.1007/BF00314107.


One hundred and twelve patients with spontaneous supratentorial intracerebral hemorrhages were reviewed to identify features which distinguish lobar intracerebral hemorrhage (LH; n = 42) from thalamic or basal ganglionic hemorrhage (TGH; n = 70). Chronic hypertension occurred more commonly in TGH (TGH 67%; LH 48%) while bleeding diathesis was more common in LH (LH 19%; TGH 6%). Clinical presentations were extremely variable and not associated with the type of hemorrhage. Bleeding into the ventricles and hydrocephalus occurred more often with TGH. At last follow-up, there were minimal differences between LH and TGH in overall mortality and functional outcome of the survivors. Alertness on admission was associated with a good outcome regardless of the type of hemorrhage, while a low Glasgow Coma Scale score, coma, ataxic respiration, abnormal pupil reactions, acute hypertension, large hemorrhage size and intraventricular blood were associated with a poor outcome. These data confirm etiological distinctions between LH and TGH, but fail to confirm previously reported differences in clinical presentation and outcome.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Basal Ganglia Diseases / diagnosis*
  • Basal Ganglia Diseases / diagnostic imaging
  • Cerebral Hemorrhage / diagnosis*
  • Cerebral Hemorrhage / diagnostic imaging
  • Cerebral Hemorrhage / pathology
  • Female
  • Humans
  • Male
  • Prognosis
  • Thalamic Diseases / diagnosis*
  • Thalamic Diseases / diagnostic imaging
  • Tomography, X-Ray Computed