Q: In Intra-Cranial Hemorrhage (ICH) - which area is more prone to cause seizure?

A) lobar  hemorrhage
B) deep hemorrhage


Answer: A

Contrary to popular belief, seizures are more common in lobar hemorrhage as compared to deep hemorrhage. Monitoring is essential as non-convulsive seizure is not uncommon.


Reference:

1. Kuramatsu JB, Sauer R, Mauer C, et al. Correlation of age and haematoma volume in patients with spontaneous lobar intracerebral haemorrhage. J Neurol Neurosurg Psychiatry 2011; 82:144.

2. Broderick J, Connolly S, Feldmann E, et al. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group. Stroke 2007; 38:2001.