In a study in 90 patients with primary hypertensive intracerebral hemorrhage in Friendship Hospital from August 1998 to May 2000. We found that white blood cell were 64.5% when the patients admitted to hospital. The increase of cholesterol is 53.4%; triglycerid is 63.3%. This is rich factor of primary hypertensive intracerebral hemorrhage. The author suggested the above mentioned clinic signs give the early diagnose, fast indication and blood test.
Cerebral Hemorrhage ; Hypertension ; Cerebral Hemorrhage, Traumatic

OBJECTIVE: This study is performed in order to compare T2* weighted magnetic resonance(T2*W MR) image to computerized tomography(CT) and conventional magnetic resonance(MR) image for the detection of minute traumatic intracerebral hemorrhage. METHODS: A series of 40 patients with head trauma underwent CT and MR image including T2*W MR sequnence. The authors compared T2*W MR image to CT and conventional MR image in the diagnosis of traumatic intracerebral hemorrhage. RESULTS: Thirty five of 40 patients(88%) were revealed the hemorrhagic foci in the T2*W MR image, whereas 30 patients(75%) were revealed in the conventional MR image, 18 patients(45%) in the CT. Therefore it is concluded that T2*W MR image is more sensitive than CT or conventional MR image in the diagnosis of minute traumatic intracerebral hemorrhage in patients with head trauma. CONCLUSION: If headache is persisted in the head trauma patients with negative CT and MR image finding, We recommend T2*W MR image.
Cerebral Hemorrhage, Traumatic* ; Craniocerebral Trauma ; Diagnosis* ; Headache ; Hemorrhage ; Humans

The authors present a series of 6 patients with isolated traumatic ganglionic hemorrhage. Although the patient population is small, some characteristic features of this rare type of traumatic lesion can be drawn. Isolated traumatic ganglionic hemorrhage differs from traumatic intracerebral hemorrhage or diffuse white matter injury, but also shares some features of both types of lesion. Some characteristic CT findings of isolated traumatic ganglionic hemorrhage are discussed. The prognosis of this lesion can be predicted by the degree of motor deficit and pupillary change with high accuracy.
Cerebral Hemorrhage, Traumatic ; Ganglion Cysts* ; Hemorrhage* ; Humans ; Prognosis

From March 1997 – September 2002, study on 31 patients intracerebral hemorrhage (28 male, 3 female) and 16 patients of control group (14 male, 2 female). The mortality of surgical treatment group was 32% and control group was 56%. Most of the benefit was in patients with lobar hemorrhage and following criteria: volume of hematoma  60cc, age  70, GCS  8. These is some suggestion that in the next future the treatment of intracerebral hemorrhage will involve non-invasive, stereotactic aspiration of hemorrhage through a single burr hole within hours
Intracranial Hemorrhage ; Hypertensive ; Surgery ; Cerebral Hemorrhage, Traumatic ; therapeutics ; surgery

The authors experienced a case of delayed traumatic intracerebral hemorrhage following a closed head injury. The patient had epidural hematoma at the right temporal area which was confirmed by the computed tomography. The hematoma was successfully evacuated and immediate postoperative course was uneventful. On the second day after operation the patient's condition deteriorated again and repeated computed tomography showed a large delayed intracerebral hematoma in the left occipital lobe. He was immediately treated surgically for the intracerebral hematoma with good result.
Cerebral Hemorrhage, Traumatic* ; Head Injuries, Closed ; Hematoma ; Humans ; Occipital Lobe

OBJECTIVE: Post-traumatic hydrocephalus is a complication of head injury and can present with several different clinical symptoms. However, the developing factors of post-traumatic hydrocephalus and treatment are still not well known. The authors design the study to focus on incidence, causing diseases and treatment of post-traumatic hydrocephalus. METHODS: The 789patients of traumatic head injury followed by admission treatment over 7days from Jan. 1997 to Dec. 2001, were divided shunt group and shunt free group. We analyzed age, sex, causing diseases, developing time of hydrocephalus and effects of shunt operation in post-traumatic hydrocephalus. RESULTS: The incidence of post-traumatic hydrocephalus for requiring shunt was 9.2% (64cases). Chronic hydrocephalus which developed after 14days of injury was higher incidence (51cases). We found following variables were significiantly related to shunt-dependent hydrocephalus: low GCS score at admission, initial CT finding of traumatic subarachnoid hemorrhage and intracerebral hemorrhage (including intraventricular hemorrhage). The effect of shunt operation was not related with the spinal pressure, but had statistically significant correlation with the response of lumbar drainage. CONCLUSION: We conclude that development of hydrocephalus after head trauma is related to low GCS score, intracerebral hemorrhage (including intraventricular hemorrhage) and subarachnoid hemorrhage. The effect of preoperative lumbar drainage has a significiant role in predicting the result of shunt operation in patient with post-traumatic hydrocephalus.
Cerebral Hemorrhage ; Craniocerebral Trauma ; Drainage ; Humans ; Hydrocephalus* ; Incidence ; Subarachnoid Hemorrhage ; Subarachnoid Hemorrhage, Traumatic

The occurrence of delayed intracerebral hemorrhage is more frequent than previously reported and is associated with a poor outcome. Early detection and proper management is important in that aspect. The progression tends to be insidious. When the patient's consciousness gets worse or is not improving within resonable time, the second CT scan should be performed. In a retrospective study of 211 consecutive patients with traumatic intracranial hematomas, we identified 12 cases(5.6%) with delayed traumatic intracerebral hemorrhage(DTICH). Among these, five(41.6%) died of DTICH. Cerebral contusion on initial CT, acceleration-deceleration injury with rotational forces, surgical decompression would be important contributors in the development of DTICH.
Cerebral Hemorrhage ; Cerebral Hemorrhage, Traumatic* ; Consciousness ; Contusions ; Craniocerebral Trauma ; Decompression, Surgical ; Humans ; Intracranial Hemorrhage, Traumatic ; Retrospective Studies ; Tomography, X-Ray Computed

Traumatic intracerebral hemorrhage associated with internuclear ophthalmoplegia is uncommon and usually presents itself in combination with diffuse axonal injury or cerebral contusion. On a review of the literatures, there hav been 23 cases of post-traumatic internuclear ophthalmoplegia reported. The authors are reporting a case of pure traumatic unilateral internuclear ophthalmoplegia with Hornor's syndrome caused by traumatic unilateral tegmental hemorrhage without diffusse axonal injury or cerebral contusion. The lesion was diagnosed by magnetic resonance image(MRI) and computed tomography(CT). The clinical feature, mechanism, and prognosis are discussed together with a review of the literatures.
Axons ; Cerebral Hemorrhage, Traumatic ; Contusions ; Diffuse Axonal Injury ; Hematoma* ; Hemorrhage ; Ocular Motility Disorders* ; Prognosis

Reduction malarplasty (RMP) to reshape the facial contour is one of the most popular aesthetic surgical procedures in Asia. Here we report a case of intracerebral hematoma (ICH) after RMP. A 31-year-old woman was referred to our hospital following RMP. On arrival at our emergency room, she presented with deep drowsy mentality and right hemiparesis. Computed tomographic scan demonstrated an ICH. We conducted stereotactic aspiration of the blood clots. Because of increased ICH after the operation, the patient underwent craniotomy and hematoma evacuation. After removal of hematoma, intraoperatively a defect of the middle cranial fossa dura, a skull base bony defect, and a bony fragment were noticed. We think that these lesions have been caused by aggressive manipulation of surgical instruments. To our knowledge, ICH after RMP was not reported. The radiologic features of this case and suggested mechanism of the complication are described.
Asia ; Cerebral Hemorrhage ; Cerebral Hemorrhage, Traumatic ; Cranial Fossa, Middle ; Craniotomy ; Emergencies ; Female ; Hematoma ; Humans ; Paresis ; Skull Base ; Surgical Instruments

OBJECTIVES: To determine the prevalence, risk factors, etiology, location, and outcome of non-traumatic intracerebral hemorrhage (ICH) in young Filipino patients. To identify factors associated with poor outcome and mortality
METHODOLOGY: Review of charts of patients age /- 45 years admitted for acute non-traumatic intracerebral hemorrhage with neuroimaging evidence of symptomatic ICH was done. Data regarding risk factors, location, etiology and outcome were analyzed using SPSS 9.01 for Windows and Epi 6 for univariate and multiple regression analysis
RESULTS: Seventy subjects were included. 66 percent were males and 34 percent were females. The mean age of the subjects was 37 years old. Prevalence of non-traumatic ICH among stroke in young adults is 17 percent. The most frequent risk factors were hypertension, smoking, alcohol use, and family history of CVD. The common locations in order were basal ganglia/internal capsule (44 percent), thalamus (22 percent), lobar, and brainstem. The common causes of ICH were hypertension (46 percent), vascular malformations (16 percent) and hematologic/coagulation disorders (13 percent). Arteriography was done in 33 percent of cases. Overall in-hospital mortality rate was 8.5 percent in the acute stage of ICH. Factors independently associated with poor outcome and mortality on multivariate regression analysis were posterior circulation (p=0.005), presence of intraventricular extension (p=0.002), ICH volume 30 cc (p= 0.011), and smoking history (p=0.021)
CONCLUSION: Non-traumatic intracerebral hemorrhage in young Filipino adults has a heterogenous etiology. Non-traumatic ICH occurred in 17 percent of young stroke patients. Posterior circulation involvement, presence of intraventricular extension, ICH volume of 30cc and smoking history were significant factors associated with poor outcome.

Human ; Male ; Female ; Adult ; Adolescent ; Smoking ; Cerebral Hemorrhage ; Stroke ; Cerebral Hemorrhage, Traumatic ; Hypertension ; Brain Stem ; Vascular Malformations