雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Simultaneous Supra-and Infratentorial Hypertensive Intracerebral Hemorrhage Masaaki UNO 1 , Hideki HONDO 1 , Keizo MATSUMOTO 1 1Department of Neurological Surgery, School of Medicine, The University of Tokushima Keyword: Simultaneous , Multiple hemorrhage , Supra-and infratentorial hemorrhage , Hypertension , CT scans pp.933-938
Published Date 1991/10/10
DOI https://doi.org/10.11477/mf.1436900334
  • Abstract
  • Look Inside

Abstract

Multiple intracerebral hemorrhage may occur as re-bleeding at the site of the previous lesion or in other places. However, multiple intracerebral hemorrhage occurring simultaneously in the supra-and infratentorial regions is rare. We experienced 9 such cases between May 1976 and December 1989. The clinical symptoms, CT findings and outcome of our cases and of 4 cases which were previously reported in the literature are re-viewed in this paper.

Out of 13 cases, 11 patients had cerebellar hemor-rhage, and the others had pontine hemorrhage in the infratentorium. Among the supratentorial lesions, 11 in-volved hemorrhage in the putamen or the thalamus, and the others were in the subcortical region. There were no characteristic initial symptoms or neurological signs which suggested that hemorrhage had occurred in both the supra-and infratentorial regions. The only methods by which we could recognize this exceptional situation were the CT scan and MRI scan.

The outcome in those patients whose initial neurolo-gical grading (NG) was 1 to 3 was good with conserva-tive therapy or surgical treatment. On the other hand, the outcome in patients whose initial NG was 4 or 5 was very poor no matter what treatment was used.

As far as surgical treatment is concerned, we believe that hematoma evacuation is necessary when the cere-bellar hematoma is bigger than the supratentorial hematoma.


Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有