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Simultaneous hypertensive intracerebral hematomas: two case reports.

K Kohshi1, H Abe, E Tsuru

  • 1Department of Neurosurgery, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, 807-8555, Kitakyushu, Japan. k-kohshi@clnc.uoeh-u.ac.jp

Journal of the Neurological Sciences
|December 2, 2000
PubMed
Summary
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This study reports two cases of simultaneous multiple hypertensive intracerebral hematomas in elderly women. Advanced neuroradiological imaging is crucial for diagnosing these complex brain hemorrhages.

Area of Science:

  • Neurology
  • Radiology
  • Neurosurgery

Background:

  • Hypertensive intracerebral hemorrhage is a common cause of stroke.
  • Multiple simultaneous hematomas are rare but can present diagnostic challenges.

Observation:

  • Two female patients (76 and 54 years old) presented with multiple hypertensive intracerebral hematomas.
  • One patient had hematomas in the right thalamus/internal capsule/basal ganglia and left putamen.
  • The other patient had ipsilateral left thalamic and putaminal hematomas.

Findings:

  • Neurological deficits were unilateral in both patients.
  • Magnetic resonance angiography (MRA) did not reveal any vascular malformations.
  • Neuroradiological procedures were essential for identifying the multiple hematomas.

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Implications:

  • Simultaneous multiple hypertensive intracerebral hematomas require thorough neuroradiological evaluation.
  • Absence of vascular malformations on MRA suggests hypertension as the primary cause.
  • Accurate diagnosis is critical for appropriate patient management and prognosis.