NEUROLOGICAL STATUS ASSESSMENT BY INTRACEREBRAL HEMORRHAGES

Intracerebral hemorrhage is a clinical form of acute violation of cerebral blood circulation resulting from intracerebral vessel rupture with increased permeability of its wall. This leads to the formation of a hematoma or hemorrhagic impregnation of the brain pharenhyma with no connection to injury, therapy or surgery. The main factors contributing to the development of the intracerebral hemorrhage are hypertension and atherosclerosis. The aim of the study is to estimate the neurological status of intracerebral hemorrhage in accordance to the results of clinical epicrisis and pathomorphological examination of the brain. General scientific research methods were used. The majority of the patients were admitted to medical institutions unconscious. The G.C.S. was used as the determination of the consciousness oppression degree. One group of the observations with localization of intracerebral hemorrhagies in the frontotemporal-parietal lobes is characterized by the following neurological symptoms: impaired rotation of the head and eyes, stiff neck (frontal lobe), inability to perceive articulate speech and hearing difficulties or impaired hearing (temporal lobe), language disorders, positive Anton’s blindness, changes in the response to light, pyramidal disorders ( parietal lobe), feet reflexes on both sides.ꢀ The second group of observations was with localization of hemorrhages in the parietal and occipital lobes. Oppression of tendon and periosteal reflexes, partial or total loss of the reaction on light (occipital lobe). Partial temperature, tactile and pain thresholds, as well as muscle and articulate feeling (parietal lobe), e.g. impending paraplegia. The localization and volume of intracerebral hemorrhage play a crucial role in the development of neurological status and in the progression of critical respiratory and circulatory regulation disorders.

neurological status, intracerebral hemorrhages, hemorrhagic stroke, gap of intracerebral vessel, brain, atherosclerosis, hypertensive disease