Stereotatic Aspiration of Simultaneous Bilateral Spontaneous Intracerebral Hemorrhage: Case Report

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.

Prognostic Factors of Chronic Subdural Hematoma

OBJECTIVE: The goal of this study is to assess the prognostic factors of patients with chronic subdural hematoma. METHODS: A series of 150 patients with chronic subdural hematoma was reviewed. The hematoma was surgically removed in all patients. We analysed possible prognostic factors such as, age, sex, causes, preoperative radiologic findings, and preoperative neurological condition(Bender grade). RESULTS: The most important prognostic factor of chronic subdural hematoma was preoperative neurological condition. Patient's age and sex, causes and preoperative radiologic findings(hematoma thickness) do not have significant influences on the outcome. CONCLUSION: The neurological condition of the patients at the time of diagnosis and treatment are the only significant prognostic factor. Early diagnosis of chronic subdural hematoma before neurological deterioration is important.