Clinical Properties of Regional Thalamic Hemorrhages

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dc.contributor.authorTokgoz, Serhat
dc.contributor.authorDemirkaya, Seref
dc.contributor.authorBek, Semai
dc.contributor.authorKasikci, Tayfun
dc.contributor.authorOdabasi, Zeki
dc.contributor.authorGenc, Gencer
dc.contributor.authorYucel, Mehmet
dc.date.accessioned2024-02-23T14:13:03Z
dc.date.available2024-02-23T14:13:03Z
dc.date.issued2013
dc.departmentNEÜen_US
dc.description.abstractBackground: Thalamic hemorrhage constitutes 6% to 25% of intracerebral hemorrhages. Vascular lesions affecting the thalamus may cause a variety of clinical symptoms. This retrospective study aims to evaluate localization of hemorrhage and clinical symptoms in patients with thalamic hemorrhage. Methods: One hundred and one patients with thalamic hemorrhage were examined retrospectively in our department. Hemorrhages were classified into 5 groups according to computed tomography: medial (thalamoperforate), anterolateral (tuberothalamic), posterolateral (thalamogeniculate), dorsal (posterior choroidal), and global. The relation between volume, localization, and penetration to adjacent structures/ventricles of hemorrhage and risk factors, clinical features, and prognosis were evaluated. Results: The study group included 101 patients. Eighty-two percent of the patients had hypertension, 19.8% had diabetes mellitus, 14.9% had cardiac disease, and 5.9% had chronic renal failure. Mean blood pressure was 173/101 mm Hg. Decreased Glasgow coma scale was significantly higher in the global hemorrhage group than in all regional groups (Chi-square, 10.54; P = .002). Medial group hemorrhages had a significantly higher rate than anterolateral, posterolateral, and dorsal intraventricular expansion. Out of speech disorders, 49% of patients had a right thalamic lesion (especially dysarthria) and 51% of patients had a left thalamic lesion (mostly aphasia). Conclusions: In the study, we detected that the most important risk factor in thalamic hemorrhage is hypertension. The prognosis is worse in global and medial group hemorrhages, especially those which rupture to the ventricle, than the other groups. Thalamic lesions cause a variety of symptoms, including forms of aphasia, such as crossed dextral aphasia.en_US
dc.identifier.doi10.1016/j.jstrokecerebrovasdis.2012.02.012
dc.identifier.endpage1012en_US
dc.identifier.issn1052-3057
dc.identifier.issn1532-8511
dc.identifier.issue7en_US
dc.identifier.pmid22579448en_US
dc.identifier.scopus2-s2.0-84886055036en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1006en_US
dc.identifier.urihttps://doi.org/10.1016/j.jstrokecerebrovasdis.2012.02.012
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12281
dc.identifier.volume22en_US
dc.identifier.wosWOS:000325874200060en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofJournal Of Stroke & Cerebrovascular Diseasesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRegional Thalamic Hemorrhageen_US
dc.subjectThalamic Aphasiaen_US
dc.subjectThalamic Hemorrhageen_US
dc.titleClinical Properties of Regional Thalamic Hemorrhagesen_US
dc.typeArticleen_US

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