Spontaneous Bilateral Basal Ganglia Intracranial Hemorrhage with Serial Neurological Change

, Sang Hun Lee; , Dong-Keun Hyun; , Hyung-Chun Park; , Chong-Oon Park

Case Report

Journal of Korean Society of Geriatric Neurosurgery 2013;9(1):62-64.
Published online June 30, 2013.

Spontaneous Bilateral Basal Ganglia Intracranial Hemorrhage with Serial Neurological Change

Sang Hun Lee , Dong-Keun Hyun , Hyung-Chun Park , Chong-Oon Park

Department of Neurosurgery, Inha University College of Medicine, Incheon, Korea

Abstract

In Korea, there are many intracranial hemorrhage (ICH) in patients with hypertension. Repeated development of ICH at different times is not unusual, but multiple simultaneous ICH is rare. This reports a bilateral basal ganglia ICH in a patient without hypertension. An 84-year-old woman with stuporous consciousness was admitted. An hour before admission, she had complained of left side weakness and headache. Prior to the admission, she vomited and became unconscious. Non-enhanced brain computed tomography (CT) showed ICH in bilateral basal ganglia. Twenty three days after admission, most of ICH was resolved in brain CT scan. She transferred to local hospital remained in unconscious state. Bilateral ICH in mirror image is very phenomenal case and there are many causes of multiple simultaneous ICH. More investigation needed to confirm exact pathophysiology about multiple ICH in same time.

Key Words: Intracranial HemorrhagesㆍHypertensionㆍBasal Ganglia