Spontaneous midbrain hemorrhage: Report of seven new cases
| Autor: | Fredric B. Meyer, J. D. Bartleson, Michael J. Link, Glenn S. Forbes |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Ataxia Adolescent Pathogenesis Mesencephalon medicine Humans Child Aged Cerebral Hemorrhage Aged 80 and over business.industry Vascular disease Cranial nerves Infant Arteriovenous malformation Middle Aged medicine.disease Surgery Bleeding diathesis Hemiparesis Child Preschool Anesthesia Female Neurology (clinical) medicine.symptom Complication business |
| Zdroj: | Surgical Neurology. 39:58-65 |
| ISSN: | 0090-3019 |
| Popis: | Spontaneous midbrain hemorrhage is a unique brain-stem vascular lesion. Sixty-six cases have been reported in the literature, to which we add seven. Of the total of 73 patients reviewed, most presented acutely (66%), but subacute (22%) and chronic onsets (12%) also occurred. Neuro-ophthalmologic abnormalities were found in 88% of patients. Some alteration of consciousness and headache occurred in most patients. Hemiparesis, hemisensory loss, and ataxia were less frequent manifestations. Vascular malformations were suspected or proved in 37% of patients, hypertension was present in 21%, and a bleeding diathesis was noted in 5%. No underlying cause was apparent in 37%. Most patients improved with supportive care only. At follow-up, 23% of patients had no neurologic deficits. In 51% of patients, minor neurologic deficits persisted, related chiefly to cranial nerves III and IV. Moderate deficits persisted in 16% of patients, and 5% of patients died. |
| Databáze: | OpenAIRE |
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