open access

Vol 50, No 4 (2016)
Case reports
Submitted: 2015-12-23
Get Citation

Simultaneous bilateral hypertensive basal ganglia hemorrhage

Jingwang Zhao, Zhijuan Chen, Zengguang Wang, Qing Yu, Weidong Yang
DOI: 10.1016/j.pjnns.2016.03.003
·
Neurol Neurochir Pol 2016;50(4):275-279.

open access

Vol 50, No 4 (2016)
Case reports
Submitted: 2015-12-23

Abstract

Context

Hypertension is the single most important risk factor for intracerebral hemorrhage (ICH) and often leads to solitary hematoma. Multiple spontaneous simultaneous ICH is not common, and bilateral hemorrhages occurred in symmetrical basal ganglia is extremely rare. Most reported cases accepted conservative treatment and suffered extremely poor outcome.

Case report

A 57-year-old male became unconscious when having supper and was transported to our emergency room immediately. Non-contract CT brain scanning showed simultaneous bilateral hypertensive basal ganglia hemorrhage; he was treated by stereotactic aspiration and thrombolysis for both sides, with subsequent thrombolysis and clot aspiration through hematoma-indwelling catheter. The hematomas were almost totally cleared within a week. His condition improved gradually. Nearly 10 months after onset, he could chow and swallow food, controlling bowels and bladder all by himself, but need some help when feeding and using toilet.

Conclusion

Simultaneous bilateral hypertensive basal ganglia hemorrhage is a devastating cerebrovascular disease with significant high morbidity and mortality. Stereotactic aspiration and thrombolysis is a safe and effective way to clear hematomas within short time, thus reducing the neurological impairment from hematoma mass effect and secondary brain injury, improving prognosis.

Abstract

Context

Hypertension is the single most important risk factor for intracerebral hemorrhage (ICH) and often leads to solitary hematoma. Multiple spontaneous simultaneous ICH is not common, and bilateral hemorrhages occurred in symmetrical basal ganglia is extremely rare. Most reported cases accepted conservative treatment and suffered extremely poor outcome.

Case report

A 57-year-old male became unconscious when having supper and was transported to our emergency room immediately. Non-contract CT brain scanning showed simultaneous bilateral hypertensive basal ganglia hemorrhage; he was treated by stereotactic aspiration and thrombolysis for both sides, with subsequent thrombolysis and clot aspiration through hematoma-indwelling catheter. The hematomas were almost totally cleared within a week. His condition improved gradually. Nearly 10 months after onset, he could chow and swallow food, controlling bowels and bladder all by himself, but need some help when feeding and using toilet.

Conclusion

Simultaneous bilateral hypertensive basal ganglia hemorrhage is a devastating cerebrovascular disease with significant high morbidity and mortality. Stereotactic aspiration and thrombolysis is a safe and effective way to clear hematomas within short time, thus reducing the neurological impairment from hematoma mass effect and secondary brain injury, improving prognosis.

Get Citation

Keywords

Basal ganglia hemorrhage, Hypertension, Stereotaxic techniques, Bilateral

About this article
Title

Simultaneous bilateral hypertensive basal ganglia hemorrhage

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 50, No 4 (2016)

Pages

275-279

DOI

10.1016/j.pjnns.2016.03.003

Bibliographic record

Neurol Neurochir Pol 2016;50(4):275-279.

Keywords

Basal ganglia hemorrhage
Hypertension
Stereotaxic techniques
Bilateral

Authors

Jingwang Zhao
Zhijuan Chen
Zengguang Wang
Qing Yu
Weidong Yang

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