Clinical tomographic investigation of insult

Abstract

Purpose. To conduct clinical computed tomographical confrontations in ischemic and hemorrhagic characters of the insult (clinical manifestations, size and localization of the brain’s focal lesion).

Materials and methods. Clinical and computed tomorgraphical data have been generalized and worked up based on 1025 case reports of in-patients with insult, who were treated in the neurovascular department RH ¹2 – Medical Centre of Emergency Care for 2002-2004.

Results. In 7.4% cases infarcts were of extensive size, in 19.5 of large, 41.7 of mean and in 13.4 of lacunar focal lesions. The only 18% cases were noted with no pathology. The clinical picture of the extensive and large infarcts was characterized by severe and very complicated state. Hemispheric hematomas were observed in 87.7% cases, ventricular-stem were localized in 11.1%, lateral heamtomas were more frequent - 29.2%. The largest volume of intracerebral hematoma was noted in a mixed type (67,9 sm1 ). In 35.7% cases the blood broke through ventricular system of the brain. This complication was more often noted (55.2%) in the mixed type of hemorrhage.

Conclusion. The insult clinical course depends on volume, localization and character of the pathological focus as well as of its complicated lesion. The computed tomography introduces the brain’s condition and helps to verify the insult character.