Simultaneous Multiple Intracranial Hemorrhage: A Case Report / 日本農村医学会雑誌

ABSTRACT

A case of multiple simultaneous intracerebral hematomas is presented. A 80-year-old man who had sudden onset of right hemiparesis and consciousness disturbance was admitted to our hospital. He had a long history of hypertension. A computed tomographic (CT) scan was performed immediately. It demonstrated a left thalamic hemorrhage and a left pontine hemorrhage. No abnormal vessel was recognized on enhanced CT scans, magnetic resonance (MR) images and MR angiography undertaken thereafter. Although he was treated conservatively, his consciousness was not improved after about 2 months of hospitalization. The occurrence of multiple simultaneous intracerebral hematomas is rare in this country. It develops only in a small number of patients who have intraparenchymal hemorrhage. The outcome is poor in the majority of these cases. The prognosis for survival is poor.