Abstract
A case of multiple intracerebral hemorrhage, supra-tentorial and infra-tentorial occurred almost simultaneously, is reported.
This 69-year-old man was transferred to Yokohama City University Hospital, because of motor aphasia and right hemiparesis of sudden onset. The computed tomography showed a small hematoma about 2 cm in diameter located in the left putaminal region, then he was decided to be treated conservatively, however, systolic hypertension had continued and his consciousness level had been going down and right abducens palsy developed in the next morning. Repeated computed tomography showed an another hematoma about 3 cm in diameter located in the right cerebellar hemisphere. Then, suboccipital craniectomy was carried out, the hematoma was removed urgently.
No case of multiple hematomas in which hemorrhage occurred supra- and infratentorial regions almost simultaneously has been reported as far as we know. In this case, the uncontrollable hypertension which followed hemorrhage is thought to be an etiological factor of the cerebellar hemorrhage.
The cases of multiple hematomas as like as just the authors reported may inci ease in number, since these hematomas will be diagnosed by the computed tomography nowadays.
