A Case of Simultaneous Hypertensive Hemorrhage in the Ipsilateral Putamen and Thalamus

摘要: A 75-year-old man with a history of hypertension suddenly became disoriented consciousness and speech disturbance. CT scan taken 45 minutes after the onset revealed large high-density area in left putaminal region small thalamic region. On 45th day onset, thin-slice brain MRI two independent, isolated high density lesions which seemed to have passed equal time length each onset. Two hemorrhage therefore occurred simultaneously on same side supratentorial cerebral hemisphere. The patient recovered well, although he still showed moderate hemiparesis aphasia at discharge. We could find only 26 reports Japan. 25 cases out 27, were multiple intracerebral hematomas that bilateral Only including our case ipsilateral In almost all examined, clinical symptoms severe prognosis was poor. But long-term this not as poor typical hematomas' case.