J Korean Neurosurg Soc.  1997 Oct;26(10):1436-1440.

Simultaneous Bilateral Hypertensive Intracerebral Hemorrhages

• Joo KS
• Shin WH
• Bae HG
• Kim BT
• Choi SK
• Byun BJ

Abstract

The authors describe two cases of simultaneous bilateral hypertensive intracerebral hemorrhage which occurred among 440 patients treated for hypertensive intracerebral hematomas between 1991 and 1996. One patient was a 59-year-old male with bilateral putaminal hemorrhages, and the other was an 82-year-old female with bilateral thalamic hemorrhages; both underwent conservative treatment. The male was discharged with mild facial palsy but the female remained in a vegetative state for over three months. The locations of bilateral hematomas with a chronic history of hypertension suggest that in the pathogenesis of this condition, a subtle degenerative process, caused by hypertension may be active. The literature pertaininig to the pathogenesis of simultaneous multiple intracerebral hematomas is briefly reviewed.

Keyword

Simultanous bilateral intracerebral hemorrhages; Hypertension

MeSH Terms

Aged, 80 and over
Facial Paralysis
Female
Hematoma
Hemorrhage
Humans
Hypertension
Intracranial Hemorrhage, Hypertensive*
Male
Middle Aged
Persistent Vegetative State