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同時多發性高血壓性腦出血-病例報告

Simultaneous Multiple Hypertensive Intracerebral Hemorrhage - A Report of Cases

摘要


同時多發性腦出血的病例很罕見。報告兩個病例,女53歲,男66歲。腦部電腦斷層顯示一例出血部位在左側基底核及左側橋腦,另一例在右側基底核及左側枕葉。鑑別診斷包括動脈瘤,動靜脈畸形,腦部類澱粉血管病變,出血性腦梗塞,大腦竇血栓,原發性或轉移性腦瘤,腦膿瘍,使用血栓溶解劑。高血壓是可能的致病原因。

並列摘要


The occurrence of simultaneous multiple intracerebral hemorrhages is rare. Two patients, a 53-year-old woman and a 66-year-old man, were admitted to our hospital. Computed tomography showed the locations of hemorrhages. The woman presented with hemorrhages in left basal ganglion and left pons and the man in right basal ganglion and left occipital lobe. Differential diagnosis included aneurysm, arteriovenous malformation, cerebral amyloid angiopathy, hemorrhagic infarction, cerebral sinus thrombosis, primary or metastatic brain tumor, brain abscess, and use of thrombolytic agent. Hypetension was the probable cause of these conditions.

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