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Journal of Korean Neurosurgical Society 1997;26(10): 1436-1440. |
| Simultaneous Bilateral Hypertensive Intracerebral Hemorrhages. |
| Kyo Sung Joo, Won Han Shin, Hack Gun Bae, Bum Tae Kim, Soon Kwan Choi, Bark Jang Byun |
| Department of Neurosurgery, College of Medicine, Soonchunhyang University, Seoul, Korea. |
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| ABSTRACT |
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The authors describe two cases of simultaneous bilateral hypertensive intracerebral hemorrhage which occurred among 440 patients treated for hypertensive intracerebral hematomas between 1991 and 1996. One patient was a 59-year-old male with bilateral putaminal hemorrhages, and the other was an 82-year-old female with bilateral thalamic hemorrhages; both underwent conservative treatment. The male was discharged with mild facial palsy but the female remained in a vegetative state for over three months. The locations of bilateral hematomas with a chronic history of hypertension suggest that in the pathogenesis of this condition, a subtle degenerative process, caused by hypertension may be active. The literature pertaininig to the pathogenesis of simultaneous multiple intracerebral hematomas is briefly reviewed. |
| Key Words:
Simultanous bilateral intracerebral hemorrhages; Hypertension |
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