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.In searching
Rudick RA. Asymptomatic Intracerebral Hematoma as an Incidental Finding. Arch Neurol. 1981;38(6):396. doi:10.1001/archneur.1981.00510060098026
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