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June 1981

Asymptomatic Intracerebral Hematoma as an Incidental Finding

Author Affiliations

From the Department of Neurology and Center for Brain Research, University of Rochester School of Medicine and Dentistry, Rochester, NY.

Arch Neurol. 1981;38(6):396. doi:10.1001/archneur.1981.00510060098026

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

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