CT scanにて診断した両側性高血圧性脳出血 : 5症例の報告と文献的考察

概要

論文の詳細を見る
Five (9.6%) of 52 cases of supretentorial hypertensive intracerebral hemorrhage which suffered re-hemorrhage in the contralateral regions were analyzed in the present study, and the 28 cases reported since 1950 were reviewed. The literature suggests that the time between the first hemorrhage and the second was quite long. However, the present series showed that re-hemorrhage in the contralateral side developed within one month in three out of five cases. In case 1, hemorrhages developed almost simultaneously in the left thalamus and in the right putamen. Three characteristics were observed: The symptoms including hemiparesis and/or hemispheric signs related to the first hemorrhage had a tendency to exacerbate after the second attack in other the contralateral region in the second attack, symptoms excessively severe for the size of the hematoma developed. Finally, the clinical course after the second hemorrhage was poor.
日本脳神経外科学会の論文
1982-08-15