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Frontal Lobe Intracerebral Hemorrhage - Case 3

A 62 year-old right handed man presented with a headache and lethargy. The medical history was significant for hypertension. On exam, he was abulic with a subtle right hemiparesis.

Outline the Frontal Lobar Blood             Show the Surrounding Vasogenic Edema

Lobar Intracerebral Hemorrhage: Axial CT scans. Note the large hemorrhage in the left frontal lobe with surrounding edema and mass effect.

The classic locations for hypertensive intracerebral hemorrhages are the basal ganglia, thalamus, pons and cerebellum. However, hypertension can also result in lobar hemorrhages. In these cases, it is essential to exclude other causes of bleeding, including an underlying vascular malformation or tumor. In the very elderly, amyloid angiopathy is a common cause of lobar hemorrhage. The symptoms depend on the location of the hemorrhage.


Revised 11/15/06.
Copyrighted 2006. David C Preston