Hemorrhagic Sensorimotor Stroke: Spectrum of Disease

Abstract

Background: This study is aimed to describe the clinical characteristics of hemorrhagic sensorimotor stroke based on data collected from a prospective hospital-based acute stroke registry.

Methods: Twelve patients with hemorrhagic sensorimotor stroke were identified, which accounted for 9% of all cases of pure sensorimotor stroke (n = 133) and 2.9% of intracerebral hemorrhage (n = 408) entered in the database.

Results: Patients with hemorrhagic sensorimotor were more likely to have hypertension, sudden onset, headache, altered consciousness, and internal capsule and basal ganglia involvement than patients with sensorimotor stroke of ischemic origin. When compared with patients with hemorrhagic stroke, hypertension, presence of previous TIA, obesity, heavy smoking, and involvement of the internal capsule were significantly more frequent in patients with hemorrhagic sensorimotor stroke, whereas altered consciousness, basal ganglia, parietal topography and ventricular involvement were less frequent. In the multivariate analysis, altered consciousness (odds ratio 17.2) and basal ganglia involvement (odds ratio 10.3) were independent predictors of hemorrhagic sensorimotor stroke.

Conclusions: Hemorrhagic sensorimotor stroke is a very infrequent stroke syndrome. Altered consciousness at stroke onset may be a useful sign for distinguishing hemorrhagic sensorimotor stroke from other causes of lacunar stroke. There are important differences between hemorrhagic sensorimotor stroke and the remaining intracerebral hemorrhages. 



J Neurol Res. 2011;1(3):90-95
doi: https://doi.org/10.4021/jnr26w