Simultaneous Bilateral Hypertensive Intracerebral Hemorrhages.
- Author:
Kyo Sung JOO
1
;
Won Han SHIN
;
Hack Gun BAE
;
Bum Tae KIM
;
Soon Kwan CHOI
;
Bark Jang BYUN
Author Information
1. Department of Neurosurgery, College of Medicine, Soonchunhyang University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Simultanous bilateral intracerebral hemorrhages;
Hypertension
- MeSH:
Aged, 80 and over;
Facial Paralysis;
Female;
Hematoma;
Hemorrhage;
Humans;
Hypertension;
Intracranial Hemorrhage, Hypertensive*;
Male;
Middle Aged;
Persistent Vegetative State
- From:Journal of Korean Neurosurgical Society
1997;26(10):1436-1440
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors describe two cases of simultaneous bilateral hypertensive intracerebral hemorrhage which occurred among 440 patients treated for hypertensive intracerebral hematomas between 1991 and 1996. One patient was a 59-year-old male with bilateral putaminal hemorrhages, and the other was an 82-year-old female with bilateral thalamic hemorrhages; both underwent conservative treatment. The male was discharged with mild facial palsy but the female remained in a vegetative state for over three months. The locations of bilateral hematomas with a chronic history of hypertension suggest that in the pathogenesis of this condition, a subtle degenerative process, caused by hypertension may be active. The literature pertaininig to the pathogenesis of simultaneous multiple intracerebral hematomas is briefly reviewed.