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Axial non contrst-enhanced brain CT scans showing types of putaminal hematomas. Upper row from left to right: focal, insular& ruptured. Lower row from left to right: dissecting & massive.  

Axial non contrst-enhanced brain CT scans showing types of putaminal hematomas. Upper row from left to right: focal, insular& ruptured. Lower row from left to right: dissecting & massive.  

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Objectives: Hypertensive putaminal hemorrhage is the most common type of intraparenchymal cerebral hemorrhage, yet the therapeutic policy is still controversial. The aim of this work was to analyze clinical and imaging data of patients with hypertensive putaminal hemorrhage and identify selection criteria for appropriate treatment. Material & Metho...

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... insular (occupying the external capsule, putamen and globus pallidus, and contained within the insula), ruptured (insular & extending into the lateral ventricles), dissecting (insular & expanding to the frontal and temporal lobes), and massive (insular & expanding to the frontal and temporal lobes and extending into the lateral ventricles), (Fig. 1). Configuration of the ipsilateral lateral ventricle was either; patent, effaced (indented), obliterated (IV hemorrhage), obstructed (compressed), and occluded (compressed with IV hemorrhage), (Fig. 2). Position of midline structures was either central, mild shift (<5 mm), moderate shift (5-10 mm), and severe shift (>10 mm), (Fig. 3). ...