Multiple simultaneous hypertensive supratentorial and infratentorial hemorrhages: A rare kind of hypertensive bleed

Abstract

Multiple simultaneous intracranial hemorrhages are very uncommon and both supra-and infratentorial hemorrhages are even more rare. Here we report a case of 56 year old hypertensive male with no other significant medical history who presented with a hypertensive emergency. Emergency head computed tomography showed bilateral basal ganglia and midbrain hemorrhages extending to right cerebellar peduncle. The patient made a progressive recovery and finally achieved functional independence. This report shows that hypertension may cause multiple simultaneous supra-and infratentorial hemorrhages and have good prognosis.

Primary Multiple Simultaneous Intracerebral Hemorrhages between 1950 and 2013: Analysis of Data on Age, Sex and Outcome

“…A total of 35 articles (table 1 ) are from Asian countries: 26 articles are from East Asia, with 17 from Japan [ 4 , 8 , 9 , 10 , 13 , 14 , 16 , 17 , 30 , 34 , 36 , 37 , 38 , 39 , 41 , 42 , 46 ], 6 from Korea [ 11 , 12 , 15 , 18 , 24 , 40 ] and 3 from Taiwan [ 19 , 32 , 35 ], and 9 articles are from other Asian countries, with 3 from India [ 20 , 23 , 29 ], 3 from Turkey [ 22 , 25 , 26 ], 2 from Iraq [ 28 , 31 ] and 1 from Nepal [ 27 ]. The remaining 9 articles are from outside Asia: 1 from Serbia in Europe [ 21 ], 6 from the USA [ 1 , 5 , 6 , 7 , 43 , 44 ], and 1 each from Cuba in the Caribbean [ 45 ] and Argentina in South America [ 33 ].…”