No abstract available.
Diagnosis, Differential* ; Hemorrhage*

No abstract available.
Diagnosis* ; Ischemia* ; Subarachnoid Hemorrhage*

Review of 194 patients with cerebral hemorrhage in Central of Army Hospital No 108 during 1994- 1998 was carried out. The high risk factors of primary cerebral hemorrhage include patients with ages of 50 and above, maximal blood pressure: 140 mmHg, minimal blood pressure: 90, low level of HDL- C: 0,9 mmol/l. CT scan, test of cerebrospinal fluid, leukopenia in peripheral blood in first hours help determine diagnostics of cerebral hemorrhage and prognosis.
Cerebral Hemorrhage ; diagnosis

Objective: To study the clinical presentations, diagnosis of spontaneous subarachnoid hemorrhage (SAH) due to ruptured aneurysms. Determine the operative indications, the surgical modalities and timing of operation. Evaluate the outcome of surgical treatment. Method: This study is performed in 73 patients with aneurysmal SAH, who have been underwent the surgical treatment at the Viet Duc hospital, between 1/1998 and 8/2003. 21 patients were retrospectively analyzed and the prospective evaluation has been performed in 52. The surgical outcome is followed up for a mean time of 31 months. Results: 73 patients ranged in age from 13 to 68 years (mean 44.5), with 37 womens and 36 mens.The classic symptoms and signs: severe headache 83.5%, meningeal syndrome 57.5%, deterioration of consciousness 46.6%. Seizures incidence 12.3%. 8.2% patients have a obscure clinical presentation. The overall sensitivity of CT for aneurysmal SAH was 89%. Lumbar puncture was performed on 21 patients, and revealed bloody or xanthchromia spinal fluid. Cerebral arteriography was able to detect the aneurysm on all patients. 6 hydrocephalus and 5 hematomas were operated in urgent conditions. The delayed surgery for ruptured intracranial aneurysms was indicated in 87.6% patients. Direct surgical clipping obliterated 69 aneurysms. GOS at 31 months posthaemorrhage indicated that 86.1% patients experienced good recovery. Conclusion:The clinical presentation of aneurysmal SAH was often typical. CT sacnner was a crucial diagnostic modality of SAH with high sensitivity, and cerebral arteriography was "gold standard" for diag nosis of ruptured intracranial aneurysms. The surgical treatment play an important role for hydrocephalus, intracerebral hematomas and aneurysmal obliteration. Microsurgery for clipping aneurysms was effective method, with low complication. None of the patients had a repeat hemorrhage, and 86.1% patients had a good result.
Subarachnoid Hemorrhage, Therapeutics, Diagnosis

A case of intraventricular meningioma(within Rt. Lateral ventricle) accompanied by intraventricular hematoma and subarachnoid hemorrhage is reported. Intraventricular meningioma fantastic and characteristic from the view points of its location is a rare condition;moreover hemorrhage into meningioma in general is exceedingly rare and presents with very unusual clinical pictures. Timely correct diagnosis and surgery aimed at evacuation of hematoma and total excision of the meningioma is essential, if satisfactory therapeutic results are to be obtained. Literatures concerned were reviewed.
Diagnosis ; Hematoma* ; Hemorrhage ; Meningioma* ; Subarachnoid Hemorrhage*

Massive rectal bleeding from the appendix, considered a rare case of lower gastrointestinal bleeding, is not easily recognized by various diagnostic modalities. A multidisciplinary approach for both a diagnosis and a differential diagnosis is important because the identification of the bleeding site is crucial to proceed to a proper intervention and there are various causes of appendiceal bleeding. Because early colonoscopy plays an important role in the diagnosis and management of lower gastrointestinal hemorrhage, we report a case of a life threatening massive rectal bleeding from the appendix diagnosed by colonoscopy. We also present a review of the literature.
Appendix ; Colonoscopy ; Diagnosis, Differential ; Gastrointestinal Hemorrhage ; Hemorrhage

The study introduced 7 medical records of upper digestive bleeding in the Army Central Hospital 108. Bleeding occurred in position that easy to diagnose such as duodenum, esophageal, gastric small curve, etc... the causes of upper digestive bleeding include gastric and duodenal ulceration, gastric cancer, esophageal venous dilatation and rupture in patients with cirrhosis with the increase of portal pressure. Some other causes comprise the malignant lymphoma schawonnome or hepatoma, invasive pancreatic tumor into duodenal. It should have combination of endoscopy with biopsy, ultrasound, CT scanner to precisely diagnose.
Gastrointestinal Hemorrhage ; diagnosis ; therapeutics ; etiology

Hemorrhage occurs within 48 hours after accident onset. In fact, there was not any case in which the hemorrhage occurred before 6 hours. 4 week serial and continuous CT scanner imaging showed that hemorrhagic cerebral infarction occurred within 24 hours in 10%, within 7 days in 39% and within 14 days in 54%. In this study, hemorrhagic cerebral infarction occurred within 1 to 3 days in 40%, 4 to 10 days in 50% and 11 to 30 days in 3%. These results are limited because the serial and continuous CT scanner imaging is less to be performed. All of 30 patients have bleeding from middle cerebral artery. CT scanner imaging showed that hemorrhagic infarction occurred in 24 out of 30 patients (80%) and parenchymal hematoma occurred in 6 patients (20%)
Ischemia ; Hemorrhage ; diagnosis ; Cerebrovascular Accident

This study included 55 patients who admitted to Huu Nghi Hospital from 1985 to 1998. It is found that spleen enlargement is common in myeloproliferative conditions, with the incidence is 100% of patients who have chronic granulocytic leukemia and those have idiopathic myelosclerosis. These patients have grade II or more of spleen enlargement. This symptom is less common in patients who have polycythemia vera or essential trombocythemia, and these patients are likely to have grade I of spleen enlargement. Anemia is more likely to be found in patients with chronic granulocytic leukemia, especially in those with idiopathic myelosclerosis, but this symptom is infrequent in patients with essential trombocythemia. Patients with polycythemia vera in typical have excessive blood. Infection and hemorrhage occurred predominantly in patients with chronic granulocytic leukemia and in some cases of essential trombocythemia. Symptoms of high blood pressure, tip finger bruise and limb weakness have been found mainly in patients with polycythemia vera. In some cases with polycythemia vera, both red cell and white cell counts are increased. While patients with chronic granulocytic leukemia, polycythemia vera and idiopathic myelosclerosis expresses obvious clinical symptoms, the symptoms in patients who have essential trombocythemia are unmarked.
Myeloproliferative Disorders ; Hemorrhage ; diagnosis ; syndrome

From January 2001 to June 2002, 96 patients who were suffering from subarachnoid hemorrhage were admitted to the stroke service of the neurological Department of B¹ch Mai Hospital. Diagnosis based on the clinical examination, CT Scan, lumbar puncture (if necessary) transcranial Doppler sonography (TCD), and angiography (DSA, and MRA). There were 35 females and 61 males. The age ranged from 12 to 84. The averaged age 46-65 years: 47 (49%). The clinical pictures included headache 98%, vomiting and/ or nausea 89%, consciousness disorders 55%, neck stiffness 94%, kernigsign 89%, hemiplegia 35%, cranial third nerve palsy 9%, cerebral aneurysm 88%, and arteriovenous malformation (AVM) 12%. Evaluation and complications included good recovery 14%, moderate disability 53%, severed disability 25%, death 8%, no cases with persistent vegetative states, recurrent bleeding 27%, cerebral vasospasm 29%, hydrocephalus 26%, Hyponatremia 17%, and seizure 5%.
Subarachnoid Hemorrhage ; Diagnosis ; Disease Management