Single and simultaneous multiple intracerebral hemorrhages: a radiological review

Renard, Dimitri; Castelnovo, Giovanni; Ion, Ioana; Guillamo, J.S.; Thouvenot, Éric

doi:10.1007/s13760-020-01385-4

Cited by 4 publications

(10 citation statements)

References 43 publications

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“…Contrary to single ICH, SMICH significantly showed lobar territorial preponderance (Wu et al, 2017) (Renard et al, 2020).…”

Section: Discussionmentioning

confidence: 68%

“…One study found low Glasgow Coma Scale (GCS) results, large hematoma and concurrent ventricular extension to be prognostic markers determining 90-day mortality (Wu et al, 2017). Unilateral supratentorial hematomas showed the most favorable outcomes (Zaorsky et al, 2019), while deep seated SMICH had the highest mortality (Renard et al, 2020). The SMICH mortality described in the literature is high, ranging from 37% to 50% (Wu et al, 2017) (Yen et al, 2005.…”

Section: Outcome Analysismentioning

confidence: 99%

“…Hypertensive angiopathy and cerebral amyloid angiopathy accounted for more than 50% of cases in SMICH (Wu TY et al) (Renard et al, 2020) (Stemer et al, 2010. They accounted for only 42.5% of the SMICH in our study.…”

Section: Dependent Variable: Hypertensionmentioning

confidence: 99%

“…Generally intracerebral hemorrhage (ICH) connotes high odds of continuum morbidity and mortality (Laiwattana et al, 2014). Among ICH patients, approximately 5% (1:20) have been identified as SMICHs (Renard et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Demographical domains and clinico-radiological characteristics of study cohorts with simultaneous multiple intracerebral hemorrhages in a tertiary neurosurgical center in Nepal: a cross-sectional study

Munakomi

Chaulagain

2022

F1000Res

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Background: Simultaneous multiple intra-cerebral hemorrhages (SMICHs) and its occurrences in different territories of arterial disposition has been viewed as uncommon clinical occurrences, since the pathophysiological and predisposing factors as mechanisms aren’t vividly defined. This research primarily aims for demographic stratification and dichotomization pertaining to risk factors, etiological classifications, anatomical distributions and outcome analysis by focusing on management strategies and pertinent stroke care. Methods: 40 patients presenting to the College of Medical Sciences, Chitwan, Nepal in the last two years were included in the study. The patients with two-or-more SMICHs with affected arterial territories with similar tomographic density based profiling were chosen as samples. Regression analysis was chosen to test three hypotheses. Results: Among our study cohorts, cortical and cortical territory (60%) was the major anatomical patterns of involvement. A conservative approach was undertaken in nine patients (22.5%), whereas surgical intervention was needed in five others (12.5%). A total of 14(35%) patients leaving against medical advice and a further seven (17.5%) patients were referred for adjuvant oncologic care. Mortality was observed among five (12.5%) patients. Hypertension was seen as a significant variable in its pathogenesis. Male patients were more affected. Age groups comprising of 36-45years and 56-65 years were involved in 32.5% and 30% cases respectively. Conclusion: This study proves the need for a national stroke data bank pertaining to SMICH. This will help foster effective patient education during preoperative counselling; as well as formatting a management algorithm combating them.

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“…Contrary to single ICH, SMICH significantly showed lobar territorial preponderance (Wu et al, 2017) (Renard et al, 2020).…”

Section: Discussionmentioning

confidence: 68%

Section: Outcome Analysismentioning

confidence: 99%

Section: Dependent Variable: Hypertensionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Demographical domains and clinico-radiological characteristics of study cohorts with simultaneous multiple intracerebral hemorrhages in a tertiary neurosurgical center in Nepal: a cross-sectional study

Munakomi

Chaulagain

2022

F1000Res

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“…5,6 ICH usually occurs at a single location in the brain; simultaneous bilateral basal ganglia hemorrhages are a rare event and have even higher rates of morbidity and mortality. 7 The first case of bilateral basal ganglia hemorrhages was described by Miura in 1978. 8 Several more have since been reported, 9,10 with a comprehensive review of 56 cases recently published.…”

Section: Introductionmentioning

confidence: 99%

<p>Two Different Minimally Invasive Surgery Puncture Points with Thrombolysis in a Patient with Bilateral Basal Ganglia Hemorrhages</p>

Zhang¹,

Yu²,

Wang³

et al. 2020

IJGM

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Bilateral basal ganglia hemorrhages are extremely rare and have very poor prognosis. We describe the case of a 52-year-old woman with a history of hypertension who experienced bilateral basal ganglia hemorrhages. We performed bilateral hematoma aspiration by minimally invasive surgery via frontal and temporal puncture points. We discuss the surgical procedure and review relevant literature pertaining to the underlying causes and complications of similar cases.

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Demographical domains and clinico-radiological characteristics of study cohorts with spontaneous simultaneous multiple intracerebral hemorrhages in a tertiary neurosurgical center in Nepal: a cross-sectional study

Munakomi

Chaulagain

2022

F1000Res

View full text Add to dashboard Cite

Background: Spontaneous simultaneous multiple intra-cerebral hemorrhages (SMICHs) and its occurrences in different territories of arterial disposition has been viewed as uncommon clinical occurrences, since the pathophysiological and predisposing factors as mechanisms aren’t vividly defined. This research primarily aims for demographic stratification and dichotomization pertaining to risk factors, etiological classifications, anatomical distributions and outcome analysis by focusing on management strategies and pertinent stroke care. Methods: 40 patients presenting to the College of Medical Sciences, Chitwan, Nepal in the last two years were included in the study. The patients with two or more spontaneous SMICHs with affected arterial territories with similar tomographic density based profiling were chosen as samples. Regression analysis was chosen to test three hypotheses. Results: Among our study cohorts, cortical and cortical territory (60%) was the major anatomical patterns of involvement. A conservative approach was undertaken in nine patients (22.5%), whereas surgical intervention was needed in five others (12.5%). A total of 14(35%) patients leaving against medical advice and a further seven (17.5%) patients were referred for adjuvant oncologic care. Mortality was observed among five (12.5%) patients. Hypertension was seen as a significant variable in its pathogenesis. Male patients were more affected. Age groups comprising 36-45years and 56-65 years were involved in 32.5% and 30% of cases respectively. Conclusion: This study proves the need for a national stroke data bank pertaining to spontaneous SMICHs. This will help foster effective patient education during preoperative counseling; as well as formatting a management algorithm combating them.

show abstract

Single and simultaneous multiple intracerebral hemorrhages: a radiological review

Cited by 4 publications

References 43 publications

Demographical domains and clinico-radiological characteristics of study cohorts with simultaneous multiple intracerebral hemorrhages in a tertiary neurosurgical center in Nepal: a cross-sectional study

Demographical domains and clinico-radiological characteristics of study cohorts with simultaneous multiple intracerebral hemorrhages in a tertiary neurosurgical center in Nepal: a cross-sectional study

<p>Two Different Minimally Invasive Surgery Puncture Points with Thrombolysis in a Patient with Bilateral Basal Ganglia Hemorrhages</p>

Demographical domains and clinico-radiological characteristics of study cohorts with spontaneous simultaneous multiple intracerebral hemorrhages in a tertiary neurosurgical center in Nepal: a cross-sectional study

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