同一領域に出血を繰り返した高血圧性脳内出血の1例

概要

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A 30-year-old hypertensive male was hospitalized because of left motor weakness. A computed tomography (CT) scan showed high density in the right putaminal region. Right carotid angiography revealed no vascular abnormality but indicated mild mass effect on the right lenticulostriate arteries. Following emergency surgery, the left hemiparesis improved. A CT scan obtained on the 8th day after surgery demonstrated no high density in the right putaminal region. However, on the 16th day the patient complained of mild headache. His blood pressure was 170/106 mmHg, but he showed no neurological deterioration. A CT scan taken on the following day showed a small high-density area in the right putaminal region. The diagnosis was recurrent hypertensive intracerebral hemorrhage in the same region. With medical treatment the left hemiparesis improved. Although the etiology of recurrent hypertensive intracerebral hemorrhage is not known, control of diastolic blood pressure may be very important in its prevention.
日本脳神経外科学会の論文
1988-09-15