BAZAL GANGLİONLARDA BİLATERAL İNTRASEREBRAL HEMORAJİ:BİR OLGU SUNUMU

Year 2008, Volume: 9 Issue: 2, 35 - 37, 01.08.2008

Sebahat Canpolat Gül Özlem Coşkun Tuğba Tunç Özcan Kocatürk Serap Üçler Levent Inan

Abstract

Serebral kanamanın en sık gözlendiği bölgeler putamen, temporal lob, parietal lob veya frontal lobların santralmaddesi, thalamus, serebllar hemisfer ve beyin sapında ponstur. Bazal ganglionlar hipertansiyona bağlıintraserebral hemorajinin (ISH) en yaygın gözlendiği bölgedir. Etyolojisinde hipertansiyon, vasküler anomaliler,vaskülopatiler, hematolojik bozukluklar, tümörler, antikoagülanlar, ilaçlar rol oynar. Bilateral intraserebralhemoraji (BİH) gelişiminde hipertansiyondan başka metanol intoksikasyonu, etilen glikol intoksikasyonu,neonatal asfiksi, migren ve hiperglisemik hiperosmolar koma ile ilişkili vakalar da bildirilmiştir. Hipertansiyonabağlı olarak bilateral bazal ganglion kanaması az rastlanılan bir tablodur. Bu olgu sunumunda, sol hemiparezisiolan, risk faktörü olarak hipertansiyon ve diabeti bulunan ve hipertansiyona bağlı bilateral intraserebral hemorajigelişen bir hastadan bahsedeceğiz

Keywords

Bilateral bazal ganglion hemorajisi, hipertansiyon, diabetes mellitus

Bilateral Intracerebral Hemorrhage of Basal Ganglion: A Case Report

Abstract

Cerebral hemorrhages are mainly seen in the area of the central matter of putamen, temporal lobe, parietal lobe or frontal lobe, thalamus, cerebellar hemisphere and pons in the brainstem. Hypertension related intracranial hemorrhages are most commonly seen in basal ganglia. The etiology of the hemorrhages are hypertension, vascular anomalies, vasculopaties, hematological disease, tumors, anticoagulant drugs. Besides hypertension, methanol or ethylene glycol intoxication, neonatal asphyxia, migraine and hyperglycemic hyperosmolar coma are also related with this condition. In this case report we discuss a patient with hypertension and diabetes mellitus who developed bilateral intracerebral hemorrhages of the basal ganglia.

Keywords

Bilateral basal ganglion hemorrhage, hypertension, diabetes mellitus

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