Primary brain stem hemorrhage: retrospective study of 25 cases

Revue neurologique
J S RaisonM Pagès

Abstract

We report a retrospective series of 25 cases of brain stem hemorrhage. Cases of spontaneous hemorrhage of the brain stem which were observed from 1990 to 2000 in a department of neurology were reviewed. Etiological factors, CT scan at admission, clinical signs and the course of the disease were analyzed retrospectively. There were 25 patients, 14 male and 11 female aged from 24 to 91. Fifteen hematomas were related to hypertension, four to coagulation disorders and two to a vascular malformation. The hemorrhage was located in the pons in 22 cases and in the midbrain in three cases. The death rate directly related to the hemorrhage was 14/25 (12 early and two delayed deaths). Prognosis factors were the size of the hemorrhage, a ventricular bleeding, disorders of consciousness and pupillary abnormalities on admission, the need for mechanical ventilation. In brain stem hemorrhage, the size of the hematoma is a more important prognosis factor than age or etiological factors.

References

Dec 1, 1992·Journal of Neurology, Neurosurgery, and Psychiatry·R FogelholmI Kunnamo
Apr 1, 1992·Neurology·C S Chung, C H Park
May 1, 1990·Stroke; a Journal of Cerebral Circulation·C L FrankeJ van Gijn
Aug 1, 1990·Journal of Neurosurgery·A N KonovalovV I Ozerova
Jul 1, 1988·Journal of Neurology, Neurosurgery, and Psychiatry·J R Mangiardi, F J Epstein
Jul 1, 1985·Journal of Neurology, Neurosurgery, and Psychiatry·S MasiyamaJ Suzuki
Mar 1, 1983·Journal of Neurosurgery·A C GonzalezA P Sanchez
Oct 1, 1980·Journal of Computer Assisted Tomography·V P DhopeshM M Cohen
Feb 1, 1995·Journal of Neurology, Neurosurgery, and Psychiatry·M SatakeT Kobayashi
Jul 1, 1994·Stroke; a Journal of Cerebral Circulation·J S KimM C Lee
Aug 1, 1996·Stroke; a Journal of Cerebral Circulation·R U KothariJ Khoury
Jun 27, 2003·Surgical Neurology·Chung-cheng WangYuan-li Zhao
Jul 17, 2003·Cerebrovascular Diseases·Rainer DziewasBernd Ringelstein

❮ Previous
Next ❯

Citations

Apr 25, 2012·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·K-B HuangS-Y Pan
Dec 31, 2020·Stroke and Vascular Neurology·Qian BaiMengzhou Xue

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Related Papers

Journal of Korean Neurosurgical Society
Young Bem SeJae Min Kim
Neuroimaging Clinics of North America
Kathleen M BurgerThomas P Naidich
Journal of Neurology, Neurosurgery, and Psychiatry
J R Mangiardi, F J Epstein
© 2022 Meta ULC. All rights reserved