... or neurological signs. The symptoms of onset, the clinical evolution and the outcome are largely due to the magnitude of the initial blood extravasation. This chapter describes typical as well as rare clinical manifestations of putaminal hemorrhages. Regional Vascular Anatomy The putamen is the largest...

... analysis. Strok 1991;22:1-6 5. Waga S, Yamamoto Y: Hypertensive putaminal hemorrhage: treatment and results. Is surgical treatment superior to conservative one?. Strok 1983;14:480-485 6. Nakajima Y, Ohsuga H, Yamamoto M, Shinohara Y: Asymptomatic cerebral hemorrhage detected by MRI. Clin Neurol...

... and clinical changes. Brain Res 1998;805:259-262. 14. Christine CW, Starr PA, Larson PS, Eberling JL, Jagust WJ, Hawkins R, et al: Safety and tolerability of putaminal AADC gene therapy for Parkinson disease. Neurology 2009;73:1662-1669. 15. Eberling JL, Jagust WJ, Christine CW, Starr P, Larson P...

... of putaminal AADC gene therapy for Parkinson disease. Neurology 2009;73:1662-1669. 15. Eberling JL, Jagust WJ, Christine CW, Starr P, Larson P, Bankiewicz KS, et al: Results from a phase I safety trial of hAADC gene therapy for Parkinson disease. Neurology 2008;70:1980-1983. 16. Muramatsu S, Fujimoto K...

... hemiplegia caused by right internal capsule and thalamic hemorrhage: demonstration of predominant ipsilateral innervation of motor and sensory systems by MRI, MEP and SEP. Neurology 1996;46:1146-1149. 22. Terakawa H, Abe K, Yanagihara T, et al: Ipsilateral hemiparesis after putaminal hemorrhage due...

... duration of illness is associated with reduced volume in right medial temporal/anterior cingulate grey matter in patients with chronic schizophrenia. Schizophr Res 2002;57:43-49. 11. Yoo HK, Kim MJ, Kim SJ, Sung YH, Sim ME, Lee YS, Song SY, Kee BS, Lyoo IK: Putaminal gray matter volume decrease...

..., a loss of left putaminal gray matter volume has been observed in patients with PD and long DI [ 11 ]. Furthermore, DI in patients with OCD has been negatively correlated with hippocampus and amygdala volumes [ 12 ], but not with caudate nucleus volume [ 13 ]. With respect to outcome, different...

... 13% for putaminal hemorrhage to 50% in the case of cerebellum. 55% of patients with intraparenchymal hemorrhage experienced headache, usually unilateral and severe, at onset. In most patients with cerebral hemorrhage, the headache is overshadowed by the rapid onset of a devastating neurologic deficit...

... with intracerebral hemorrhage. Stroke 1997;28:1-5. 11. Fujitsu K, Muramoto M, Ikeda Y, Inada Y, Kim I, Kuwabara T: Indications for surgical treatment of putaminal hemorrhage. Comparative study based on serial CT and time-course analysis. J Neurosurg 1990;73:518-525. 12. Fujii Y, Takeuchi S, Sasaki O...

... MRI scan follows. We locate the mid-putaminal point of the anterior limb of the capsule and prepare an oval plan where the base is adjusted according to the tractography and sited at the ventral portion of the capsule. Capsulotomy is performed using two 4-mm isocenters on each side. A maximum dose...

... unrecognized predictor of poor outcome from supratentorial intracerebral hemorrhage. Stroke 1998;29:1352-1357. 31. Phan TG, Koh M, Vierkant RA, et al: Hydrocephalus is a determinant of early mortality in putaminal hemorrhage. Stroke 2000;31:2157-2162. 32. Liliang PC, Liang CL, Lu CH, et al...

...: demonstration of predominant ipsilateral innervation of motor and sensory systems by MRI, MEP and SEP. Neurology 1996;46:1146-1149. 22. Terakawa H, Abe K, Yanagihara T, et al: Ipsilateral hemiparesis after putaminal hemorrhage due to uncrossed pyramidal tract. Neurology 2000;55:1801-1805. 23. Calautti C...

... in patients with intracerebral hemorrhage. Stroke 1997;28:1-5. 11. Fujitsu K, Muramoto M, Ikeda Y, Inada Y, Kim I, Kuwabara T: Indications for surgical treatment of putaminal hemorrhage. Comparative study based on serial CT and time-course analysis. J Neurosurg 1990;73:518-525. 12. Fujii Y, Takeuchi S...

... ) for a patient with putaminal hemorrhage show multiple CMBs in the bilateral thalamus. Strictly lobar pattern: a GRE T2*-weighted image ( c ) and SWI ( d ) for a patient with lobar hemorrhage show multiple CMBs in the posterior lobes. Hematoma evacuation samples from this patient demonstrate the presence...

... unrecognized predictor of poor outcome from supratentorial intracerebral hemorrhage. Stroke 1998;29:1352-1357. 31. Phan TG, Koh M, Vierkant RA, et al: Hydrocephalus is a determinant of early mortality in putaminal hemorrhage. Stroke 2000;31:2157-2162. 32. Liliang PC, Liang CL, Lu CH, et al...