Hemopericardium following cerebral hemorrhage. Report of an autopsy case.
The simultaneous occurrence of cerebral hemorrhage and hemopericardium due to the rupture of a dissecting aneurysm has not been previously reported. We describe an autopsy case of a 45-year-old man with hypertension who died suddenly following both of these conditions. He had been treated for hypertension; the finding of arteriolar nephrosclerosis supported the existence of the disease. Because rupture of the aorta invariably causes a marked fall in blood pressure, the occurrence of cerebral hemorrhage following hemopericardium is highly unlikely. Thus, we presume that rupture of the aorta occurred after the cerebral hemorrhage.
Masui
M
M
Department of Legal Medicine, Osaka University Medical School, Japan.
Wakasugi
C
C
D000784:Aortic Dissection / Q000150:complications / Q000209:etiology; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000150:complications / Q000209:etiology; D001018:Aortic Diseases / Q000150:complications / Q000209:etiology*; D006332:Cardiomegaly / Q000473:pathology; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology*; D012421:Rupture