同時に発生した両側高血圧性脳内出血の1例—文献的考察とともに

A Case of Bilateral Hypertensive Intracerebral Hemorrhage Which Occurred Simultaneously

I．はじめに

　高血圧性脳内出血の病態，予後，手術適応などについては多くの報告があり，CT出現以後，更に詳細な研究が相次いでいる．しかし高血圧性脳内出血の両側発生については報告も少なく，その臨床症状，病態，予後などもあまり明らかにされていない．著者らは，同時に発生したと思われる両側高血圧性脳内出血の1症例を経験したので，若干の文献的考察とともに報告する．

A case of bilateral hypertensive intracerebral hemorrhage(HICH) which occurred simultaneously, was reported.

A 70-year-old woman had sudden onset of right hemipare-sis, urinary incontinence and speech disturbance. She wasstuporous and restless on admission. Neurological examina-tion showed right hemiparesis and total aphasia, but failedto reveal bulbar palsy and left hemiparesis.

CT scan revealed a high density mass in the left thalamicregion extending to the left lateral ventricle and also a smallhigh density mass in the right putaminal region.