J Cerebrovasc Endovasc Neurosurg.  2013 Dec;15(4):316-319. 10.7461/jcen.2013.15.4.316.

Simultaneous Multiple Basal Ganglia and Cerebellar Hemorrhage: Case Report

• Yi HJ
• Shin IY
• Hwang HS

• KMID: 1810791
• DOI: http://doi.org/10.7461/jcen.2013.15.4.316

Abstract

A 35-year-old man presented with simultaneous multiple intracranial hematomas in the right cerebellar dentate nucleus and left basal ganglia. The hematomas were visible by computed tomography performed within two hours of the patient's arrival. The initial computed tomography showed acute hemorrhage in the left basal ganglia and dentate nucleus in cerebellum. The patient then experienced a change of consciousness due to newly developed hydrocephalus, and emergent extra-ventricular drainage was performed. By discharge, fortunately, the patient was fully recovered.

Keyword

Multiple intracranial hemorrhages; Hypertension; Microaneurysm; Hypercholesterolemia; Amyloid angiopathy

MeSH Terms

Adult
Basal Ganglia*
Cerebellar Nuclei
Cerebellum
Consciousness
Drainage
Hematoma
Hemorrhage*
Humans
Hydrocephalus
Hypercholesterolemia
Hypertension

Figure

• 

  Fig. 1 Initial brain non contrast enhanced computed tomography (CT) scan: Intracerebral multiple hematomas with right cerebellar dentate nucleus (A) and left basal ganglia (B).

• 

  Fig. 2 (A) Brain CT angiography: Right vertebral artery hypoplasia and diffuse cerebral arteriosclerosis. (B, C, D) Brain magnetic resonance image (MRI): Multiple old infarctions in pons, left thalamus, subacute infarction in left frontal and parietal lobes and multiple old microbleeds in pons and both thalami.

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