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Journal of Korean Neurosurgical Society 2003;33(1): 85-87.
Stereotatic Aspiration of Simultaneous Bilateral Spontaneous Intracerebral Hemorrhage: Case Report.
Wan Woo Choi, Joon Soo Kim, Woon Gi Lee, Sang Do Bae
Department of Neurological Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea. nkalzabi@netian.com
The simultaneous occurrence of intracerebral hemorrhages in different arterial territories is an uncommon clinical event. The authers report a case of simultaneous bilateral intracerebral hemorrhages treated with stereotactic aspiration. A 64-year-old male presented with simultaneous bilateral intracerebral hemorrhages in the both putamens. The hematomas were demonstrated by computed tomography performed after a few hours of onset. The patient underwent computed tomography-guided stereotactic aspiration but he finally became vegetative state. Most of patients reported previously usually have unfavorable functional outcome and high mortality because of the severe neurological deficits. Therefore, the role of the surgical treatment in case of bilateral intracerebral hemorrhages should be surveyed closely in according to clinical state. The authors describe a case of simultaneous bilateral intracerebral hemorrhages and with discussion focused in the predisposing factors, pathogenesis and therapeutic approach.
Key Words: Simultaneous bilateral intracerebral hemorrhage; Surgical treatment
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