Lobar haemorrhage
Lobar haemorrhage may be caused by any of the common agents involved in intracerebral haemorrhage. The clinical presentation is determined by the lobe primarily affected:
- occipital lobe lesions cause hemianopia and pain around the ipsilateral eye
- frontal lobe lesions cause behavioural and motor signs, e.g. severe weakness of the contralateral arm
- parietal lobe lesions cause sensory, cognitive, behavioural disturbances and visual neglect
- temporal lobe lesions cause aphasia or fluent dysphasia, agitation and incomplete contralateral hemianopia
Headache may be present and localised to the region of the haemorrhage.
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