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Asymptomatic Intracerebral Hematoma as an Incidental Finding
Richard A. Rudick, MD
Arch Neurol. 1981;38(6):396.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Tntracerebral hemorrhage is being diagnosed with increasing frequency in less severely ill "stroke" patients.1-3 An unexpected basal ganglia hemorrhage was diagnosed by computed tomographic (CT) scan in an asymptomatic 59-year-old woman. The scan was obtained as part of the diagnostic evaluation of a seizure disorder of 18 years' duration. This further expands the clinical spectrum of intracerebral hematoma.
REPORT OF A CASE
A 59-year-old right-handed woman came to the Strong Memorial Hospital Neurology Clinic, Rochester, NY, in January 1978 for evaluation of a seizure disorder. Her seizures began at age 41 years and were of the partial-complex type, with alteration of consciousness and motor automatisms. Seizures were controlled with phenytoin sodium, phenobarbital, and primidone. Several EEGs showed paroxysmal bitemporal slowing. She had a long history of treated hypertension, chronic renal failure, adequately treated syphilis (with a negative CSF VDRL), severe degenerative joint disease, and marked obesity.
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Author Affiliations
From the Department of Neurology and Center for Brain Research, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Footnotes
Accepted for publication Sept 28, 1980.
Reprint requests to Department of Neurology, Strong Memorial Hospital, The University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642 (Dr Rudick).
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