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Multiple Spontaneous Intracerebral Hematoma without Presenting Risk Factors
Sangman Park1, Eun-Kyung Park1, Ju-Seong Kim1
1Department of Pediatric Neurosurgery, Severance Children's Hospital, Yonsei College of Medicine, Seoul, Korea.
Journal of Cerebrovascular and Endovascular Neurosurgery
|November 17, 2016
Summary
Spontaneous intracerebral hemorrhage can occur without known risk factors. This case highlights the potential for recurrence, even in primary cases, emphasizing the need for vigilance in patient management.
Area of Science:
- Neurology
- Neurosurgery
- Internal Medicine
Background:
- Intracerebral hemorrhage (ICH) incidence rises significantly with age, particularly over 80.
- Common ICH causes vary by age, including vascular issues in younger individuals and hypertension/tumors in the elderly.
Observation:
- A 72-year-old male presented with spontaneous intracerebral hemorrhage.
- The patient had no typical predisposing conditions like hypertension, vascular malformations, or coagulation disorders.
- Multifocal intracerebral hemorrhage was observed during hospitalization.
Findings:
- Spontaneous intracerebral hemorrhage can occur idiopathically, without identifiable predisposing factors.
- ICH can be fatal, underscoring the severity of this condition.
Implications:
- The possibility of recurrent spontaneous intracerebral hemorrhage should be considered in all primary ICH cases.
- This case emphasizes the importance of considering idiopathic ICH and its potential for recurrence in clinical practice.
