Simultaneous bilateral hypertensive basal ganglia hemorrhage

Abstract

Simultaneous bilateral hypertensive basal ganglia hemorrhage is a devastating cerebrovascular disease with significant high morbidity and mortality. Stereotactic aspiration and thrombolysis is a safe and effective way to clear hematomas within short time, thus reducing the neurological impairment from hematoma mass effect and secondary brain injury, improving prognosis.

Bilateral Basal Ganglia Hemorrhage in a Patient with Confirmed COVID-19

“…However, basal ganglia hemorrhage in hypertensive disease is unilateral in most cases. 6,9 Our patient was normotensive on presentation, making hypertensive hemorrhage less likely.…”

An unusual case of spontaneous bilateral basal ganglia bleed

“…A handful of hypothesis has been postulated by different authors with reference to aforementioned context. The most common plausible pathogenesis is the concurrent rupture of bilateral micro aneurysms on lenticulostriate arteries by chance [7]. Other mechanism predicate that the initial hemorrhage results in specific hemodynamic ambience, such as reflex increase in blood pressure, evoking rupture of a second micro aneurysm on the contralateral side in a brief time span, which seems more credible [7] .…”

“…The most common plausible pathogenesis is the concurrent rupture of bilateral micro aneurysms on lenticulostriate arteries by chance [7]. Other mechanism predicate that the initial hemorrhage results in specific hemodynamic ambience, such as reflex increase in blood pressure, evoking rupture of a second micro aneurysm on the contralateral side in a brief time span, which seems more credible [7] . Nonetheless, traumatic basal ganglia bleeding is uncommon, and bilateral basal ganglia hemorrhage after trauma is extremely rare.…”

Hemorrhagic infarct of basal ganglia in cardiac arrest. CT and MRI findings. 2 cases

“…Hematomas are usually not perfectly symmetric. The most frequent location is putaminal (71%) and the most common cause is hypertension [10,11]. Bilateral BG hemorrhage or hemorrhagic necrosis can occur in methanol poisoning [12], after head trauma [13], and have been reported in isolated cases in diabetic ketoacidosis [14], hyperglycemic hyperosmolar syndrome [15], fungal infection [16], during the reversible cerebral vasoconstriction syndrome (RVCS) [17] and after lightning strike [18].…”