Abstract
We examined the clinical and pathophysiological features of “multiple simultaneous intracerebral hemorrhages” in 73 patients, comprising 8 of our patients and 65 previously reported patients. We defined “multiple simultaneous intracerebral hemorrhages” as more than two hemorrhages in the initial cranial CT scan taken within 24 hours after onset. In the 73 patients, we investigated the clinical courses and presented manifestations, as follows : 1) age, 2) sex, 3) consciousness on admission, 4) blood pressure on admission, 5) location of hematoma on CT, 6) size of hematoma on CT, 7) leukoaraiosis on CT (using the classification of Aharon-Peretz et al.) and MRI using the classification of Gerard et al., 8) risk factors for stroke, 9) treatment, 10) outcome, and 11) pathological findings.
For some features, the results of the present study were not consistent with previous research, as follows :
1) Leukoaraiosis on CT and MRI was revealed in 80%, and might be correlated with the pathophysiology of “multiple simultaneous intracerebral hemorrhages”.
2) Hypertension could be the most frequent cause, although amyloid angiopathy may, unexpectedly, be less frequent.
These results probably reflect the current trends in the clinical pictures of “multiple simultaneous intracerebral hemorrhages”.
