J Korean Neurosurg Soc.  2003 Jan;33(1):85-87.

Stereotatic Aspiration of Simultaneous Bilateral Spontaneous Intracerebral Hemorrhage: Case Report

• Choi WW
• Kim JS
• Lee WG
• Bae SD

Abstract

The simultaneous occurrence of intracerebral hemorrhages in different arterial territories is an uncommon clinical event. The authers report a case of simultaneous bilateral intracerebral hemorrhages treated with stereotactic aspiration. A 64-year-old male presented with simultaneous bilateral intracerebral hemorrhages in the both putamens. The hematomas were demonstrated by computed tomography performed after a few hours of onset. The patient underwent computed tomography-guided stereotactic aspiration but he finally became vegetative state. Most of patients reported previously usually have unfavorable functional outcome and high mortality because of the severe neurological deficits. Therefore, the role of the surgical treatment in case of bilateral intracerebral hemorrhages should be surveyed closely in according to clinical state. The authors describe a case of simultaneous bilateral intracerebral hemorrhages and with discussion focused in the predisposing factors, pathogenesis and therapeutic approach.

Keyword

Simultaneous bilateral intracerebral hemorrhage; Surgical treatment

MeSH Terms

Causality
Cerebral Hemorrhage*
Hematoma
Humans
Male
Middle Aged
Mortality
Persistent Vegetative State
Putamen