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Published on: October 20, 2017
[Multiple cerebral hematomas: review of 7 cases]
M Seijo1, A Ucles, A Gil-Nagel
1Sección de Neurologia, Hospital Provincial de Pontevedra.
Revista De Neurologia
|May 1, 1996
Summary
Multiple spontaneous cerebral hemorrhages in adults over 50 are often linked to coagulation disorders, not hypertension. Survivors of these brain bleeds experienced favorable outcomes despite high mortality.
Area of Science:
- Neurology
- Radiology
- Hematology
Context:
- Presents a case series of seven patients diagnosed with multiple spontaneous cerebral hemorrhages over a decade.
- Focuses on patients over 50 years of age admitted to Hospital 12 de Octubre.
- Highlights the diagnostic role of computed tomography (CT) scans.
Purpose:
- To analyze the clinical presentation, radiologic features, and prognosis of multiple spontaneous cerebral hemorrhages.
- To discuss the diverse etiologic factors contributing to this condition.
- To evaluate the outcomes in a specific patient cohort.
Summary:
- The study identified that a significant portion of patients (43%) had associated coagulation disorders, with most patients not being hypertensive (57%).
- Hemorrhages were exclusively supratentorial, with patients exhibiting focal signs and varying levels of consciousness from confusional states to deep coma.
- Elevated mortality was observed (three deaths), but survivors showed a favorable clinical evolution and outcome.
Impact:
- Provides insights into the etiology and clinical characteristics of multiple spontaneous cerebral hemorrhages in older adults.
- Emphasizes the importance of considering coagulation disorders in the differential diagnosis.
- Contributes to understanding the prognosis and management strategies for this rare neurological event.
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