Fifty patients with spontaneous lobar haematomas were reviewed. Thirty-two were normotensive and eighteen were hypertensive. Vomiting, seizures, and altered consciousness were more common in hypertensive than in normotensive patients. Haematoma size (greater than 4.0 cm) and intraventricular extension occurred most commonly in hypertensive and rarely in normotensive patients. Twenty-eight per cent of hypertensive patients died, whereas none of the normotensive patients died.
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