J Korean Neurosurg Soc.  2005 Dec;38(6):468-470.

Bilateral Simultaneous Hypertensive Intracerebral Hemorrhages in Both Thalami

• Choi JW
• Lee JK
• Kim JH
• Kim SH

Abstract

The recurrent intracerebral hemorrhage(ICH) in hypertensive patients is not an unusual event, but the simultaneous occurrence of multiple ICH is rare. A 70-year-old woman presented with bilateral simultaneous hypertensive intracerebral hemorrhages in both thalami. The complaints of the patient were unconsciousness (semicomatose mental state) and quadriparesis Grade II. The patient was managed conservatively. At discharge, the patient was awake (drowsy mental state), but Grade III according to the Glasgow Outcome Score. This paper reviews the clinical relevance, possible etiology, and treatment of bilateral thalamic ICH.

Keyword

Simultaneous; Intracerebral hemorrhage; Hypertension; Bilateral; Thalamus

MeSH Terms

Aged
Cerebral Hemorrhage
Female
Humans
Hypertension
Intracranial Hemorrhage, Hypertensive*
Quadriplegia
Thalamus
Unconsciousness