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Simultaneous bilateral hypertensive basal ganglia hemorrhage
Jingwang Zhao1, Zhijuan Chen1, Zengguang Wang1
1Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Neurologia I Neurochirurgia Polska
|July 5, 2016
Summary
This case report details a rare instance of simultaneous bilateral hypertensive basal ganglia hemorrhage. Stereotactic aspiration and thrombolysis proved effective in clearing the hematomas and improving patient outcomes.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Neurology
Background:
- Hypertension is a primary risk factor for intracerebral hemorrhage (ICH).
- Simultaneous, bilateral ICH in the basal ganglia is exceptionally rare.
- Traditional conservative treatment for such cases often results in poor outcomes.
Observation:
- A 57-year-old male presented with sudden unconsciousness due to simultaneous bilateral hypertensive basal ganglia hemorrhage.
- The patient underwent stereotactic aspiration and thrombolysis for both hematomas.
- Hematoma clearance was achieved within a week using an indwelling catheter system.
Findings:
- The described stereotactic aspiration and thrombolysis technique successfully cleared bilateral basal ganglia hematomas.
- The patient showed significant gradual improvement over 10 months post-procedure.
- Functional recovery included independent bowel/bladder control and improved swallowing.
Implications:
- Stereotactic aspiration and thrombolysis offer a safe and effective treatment for rare bilateral hypertensive basal ganglia hemorrhages.
- Rapid hematoma clearance can mitigate mass effect and secondary brain injury.
- This approach may improve neurological outcomes in patients with devastating cerebrovascular events.
