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Hypertensive intracerebral hemorrhage (ICH) is mostly single in basal ganglia, thalamus and pons. Simultaneous hemorrhage in other brain regions is relatively rare, accounting for only 5.6% of all hemorrhagic strokes, while bilateral symmetrical hemorrhage is extremely rare. A case of bilateral basal ganglia symmetrical hemorrhage is reported for clinical reference.
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El Síndrome de Fahr o calcificación idiopática de los ganglios basales es una patología neurológica degenerativa de baja frecuencia. Siendo un desorden genético hereditario autosómico dominante, se caracteriza por anormales depósitos de calcio en ciertas zonas del cerebro incluyendo el ganglio basal y la corteza cerebral asociado a síntomas neuropsiquiátricos. Se presenta el caso de un paciente de 31 años de edad que ingresa al servicio de urgencias del Hospital Obrero N°2 presentando crisis convulsivas tónico clónicas generalizadas, disartria, movimientos atetósicos en extremidades superiores e inferiores, al cual se solicitó una tomografía computarizada sin contraste donde se evidencia extensa calcificación bilateral y simétrica de la sustancia blanca que compromete cerebelo, núcleos basales, corona radiada, concluyendo que se trataba de un Síndrome de Fahr .
Fahr's Syndrome or Idiopathic basel ganglion calcification is a infrequent degenerative neurological pathology. It is a genetically auto-somal dominant dysfunction that is characterized by abnormal deposits of calcium in certain areas of the brain including the basal ganglion and the cerebral cortex, it is associated with neuropsychiatric symptoms.Presenting the case of a 31 year-old male patient entering the emergency services with tonic-clonic seizures, dyslalia, dysarthria, athetotic movements of the upper and lower extremities and ataxia. A computed axial tomography without contrast was requested. Extensive bilateral, symmetrical calcification of the white matter was diagnosed that affecting cerebellum, basal ganglia and corona radiate. Based on that evidence Fahr's Syndrome was diagnosed.
Subject(s)
Tomography, X-Ray ComputedABSTRACT
@#Objective To explore the speech characteristics and intervention of aphasia after left basal ganglion impairment. Methods Chinese Standard Language Test of Aphasia is used to assess 6 patients with aphasia after left basal ganglion impairment. Schuell's stimulation approach and communication intervention of daily life were used. Results All the patients were difficult for verbal naming and active description. The ability of listening comprehension, speech, and reading improved after intervention. Writing ability improved in 2 patients. Conclusion Aphasia after left basal ganglion impairment appears difficulty of verbal naming and active description. Schuell's stimulation approach combined with communication training of daily life may be helpful to improve their speech.
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@# Objective To study the effects of stereotactic technique on hypertensive basal ganglion hemorrhage. Methods 160 patients with hypertensive basal ganglion hemorrhage were divided into 2 groups: surgical group （132 cases）and conservative group （28 cases）. They were assessed with clinical neurologic impairment scale before and 2 weeks and 4 weeks after treatment. The incidence of rehemorrhage was compared. Results The neurologic impairment scores in surgical group and conservative group were (33.90±3.54) and (33.61±3.82) before treatment (P>0.05), (20.89±3.10) and (26.18±3.61) 2 weeks after treatment (P<0.01), (10.28±2.01) and (15.68±3.28) 4 weeks after treatment (P<0.01), respectively. The incidence of rehemorrhage in surgical group and conservative group were 6.1% and 10.7% (P>0.05), respectively. Conclusion The stereotactic technique may recover neurological function much faster.
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Uremic patients undergoing hemodialysis (HD) therapy are prone to develop encephalopathy, but the cause is often unclear. Clinical signs of encephalopathy in the uremic patient often overlap with several other affections causing neurological disorders. Chorea or hemichorea occurs very rare, when basal ganglia are injured in HD patients. We hereby report a case of hemichorea of unknown cause in a hemodialysis patients. A 57-year-old diabetic HD patient was presented with sudden onset of right hemichorea. We could not find causes of hemichorea such as hyperglycemia, hepatic failure, drug, hyponatremia, and thiamine deficiency. T1-weighted MRI demonstrated hyperintense lesion limited to the left basal ganglion. Hemichorea disappeared completely 6 months after the onset with support care.
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Objective To summarize the clinical experience of microsurgical treatment via small bone flap craniotomy through lateral fissure approach for hypertensive basal ganglia hemorrhage during ultra-early period.Methods A total of 33 patients with hypertensive basal ganglia hemorrhage were given microsurgical treatment within 6 hours after stroke.The operation was performed under small bone flap craniotomy through lateral fissure and insular lobe approach.The hematoma was cleaned under microscope for decompression,and no drainage was used.The high blood pressure was strictly controlled after operation.Clinical records were analyzed retrospectively.Results Postoperative CT examination showed the hematoma cleaning rate over 95%.Complicated pneumonia occurred in 2 patients.Follow-up assessment according to the Glasgow Outcome Scale(GOS) for 3 months revealed good recovery in 23 patients and moderate disability in 10 patients.Conclusions Microsurgical treatment via small bone flap craniotomy through lateral fissure approach for hypertensive basal ganglia hemorrhage during ultra-early period has advantages of little invasion,thorough removal of lesion,low incidence of complications and disability,and fast functional recovery.
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0.05).But there was less operation time and less volume of bleeding in the group one ( P