Repeated thalamic haemorrhage: case report and review of the literature.
Recurrence of thalamic haemorrhage has rarely been reported. A 70-year-old woman had recurrent thalamic haemorrhage five-times during a period of 6 years. The first, second and fifth haemorrhages were located in the right thalamic region, and the third and fourth haemorrhages in the left thalamic region. Cranial computed tomography and magnetic resonance imaging revealed no abnormal lesion. After the first, second, and third haemorrhage with medical treatments, the patient recovered her functional ability or was at least capable of self-care at home. However, after the fourth and fifth haemorrhage, with medical therapy the patient's prognosis was severe disability. In this case, systemic blood pressure was normalized without antihypertensive agents after the first attack. However, there was an episode of sudden hypertension at each attack. Although the mechanism of rebleeding has not been clarified, rebleeding might be associated with changes of cerebral circulation following the previous haemorrhage.
Nakamura
T
T
Department of Neurosurgery, Takinomiya General Hospital, 486 Takinomiya, Ryonan-cho, Ayauta-gun, Kagawa 761-2393, Japan. neuron@kms.ac.jp
Tatara
N
N
Kawai
N
N
Morisaki
K
K
Kawakita
K
K
Ito
T
T
Nagao
S
S
D000368:Aged; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D020300:Intracranial Hemorrhages / Q000150:complications / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D011379:Prognosis; D012008:Recurrence; D013788:Thalamus / Q000098:blood supply / Q000473:pathology*; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed