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Hemopericardium following cerebral hemorrhage. Report of an autopsy case
1Department of Legal Medicine, Osaka University Medical School, Japan.
The simultaneous occurrence of cerebral hemorrhage and hemopericardium due to the rupture of a dissecting aneurysm has not been previously reported. We describe an autopsy case of a 45-year-old man with hypertension who died suddenly following both of these conditions. He had been treated for hypertension; the finding of arteriolar nephrosclerosis supported the existence of the disease. Because rupture of the aorta invariably causes a marked fall in blood pressure, the occurrence of cerebral hemorrhage following hemopericardium is highly unlikely. Thus, we presume that rupture of the aorta occurred after the cerebral hemorrhage.
The simultaneous occurrence of cerebral hemorrhage and hemopericardium due to the rupture of a dissecting aneurysm has not been previously reported. We describe an autopsy case of a 45-year-old man with hypertension who died suddenly following both of these conditions. He had been treated for hypertension; the finding of arteriolar nephrosclerosis supported the existence of the disease. Because rupture of the aorta invariably causes a marked fall in blood pressure, the occurrence of cerebral hemorrhage following hemopericardium is highly unlikely. Thus, we presume that rupture of the aorta occurred after the cerebral hemorrhage.