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双侧自发性丘脑出血：一例报告

Bilateral Spontaneous Thalamic Hemorrhage: A Case Report.

作者信息

Al-Shahwani Zakariya A, Taha Ghaith M, Saoodi Raghad N, Faisal Mohanad

机构信息

Emergency Medicine, Al Karama Teaching Hospital, Baghdad, IRQ.

Neurology, Al Kadhmiya Teaching Hospital, Baghdad, IRQ.

出版信息

Cureus. 2024 Aug 19;16(8):e67258. doi: 10.7759/cureus.67258. eCollection 2024 Aug.

DOI:10.7759/cureus.67258
PMID:39301362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11411231/
Abstract

Bilateral spontaneous thalamic hemorrhage is a rare but serious condition often linked to hypertension. We report a 67-year-old male presenting with a sudden severe headache, decreased consciousness, and right-sided neurological deficits. Both CT and MRI confirmed bilateral thalamic hemorrhage. The patient was managed with supportive care and blood pressure control. This case underscores the importance of early recognition and adds to the limited literature on this condition.

摘要

双侧自发性丘脑出血是一种罕见但严重的疾病，常与高血压有关。我们报告一例67岁男性，出现突发剧烈头痛、意识减退和右侧神经功能缺损。CT和MRI均证实为双侧丘脑出血。该患者接受了支持治疗和血压控制。本病例强调了早期识别的重要性，并补充了关于这种疾病的有限文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89df/11411231/d432334e2164/cureus-0016-00000067258-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89df/11411231/9c5648554ece/cureus-0016-00000067258-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89df/11411231/d432334e2164/cureus-0016-00000067258-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89df/11411231/9c5648554ece/cureus-0016-00000067258-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89df/11411231/d432334e2164/cureus-0016-00000067258-i02.jpg

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本文引用的文献

1
Bilateral simultaneous thalamic hematomas - Unusual presentation of intracerebral hemorrhage: A case report.双侧同时性丘脑血肿——脑出血的罕见表现：一例报告
Heliyon. 2023 Oct 4;9(10):e20622. doi: 10.1016/j.heliyon.2023.e20622. eCollection 2023 Oct.
2
Etiology and risk factors of intracranial hemorrhage and ischemic stroke in young adults.青年颅内出血和缺血性脑卒中的病因和危险因素。
J Chin Med Assoc. 2021 Oct 1;84(10):930-936. doi: 10.1097/JCMA.0000000000000598.
3
Simultaneous bilateral hypertensive thalamic hemorrhage: A rare event.
双侧同时性高血压性丘脑出血：一种罕见事件。
Neurol India. 2018 Mar-Apr;66(2):575-577. doi: 10.4103/0028-3886.227323.
4
Intracerebral hemorrhage location and outcome among INTERACT2 participants.INTERACT2研究参与者的脑出血部位与预后
Neurology. 2017 Apr 11;88(15):1408-1414. doi: 10.1212/WNL.0000000000003771. Epub 2017 Feb 24.
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Simultaneous multiple hypertensive intracranial hemorrhages.同时发生的多处高血压性颅内出血。
J Clin Neurosci. 2011 Sep;18(9):1215-8. doi: 10.1016/j.jocn.2011.01.020. Epub 2011 Jul 12.
6
Glasgow Coma Scale and hematoma volume as criteria for treatment of putaminal and thalamic intracerebral hemorrhage.格拉斯哥昏迷量表和血肿体积作为壳核及丘脑出血治疗的标准
Surg Neurol. 2008 Dec;70(6):628-33. doi: 10.1016/j.surneu.2007.08.006. Epub 2008 Jan 22.
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The thalamus and behavior: effects of anatomically distinct strokes.丘脑与行为：解剖学上不同部位中风的影响
Neurology. 2006 Jun 27;66(12):1817-23. doi: 10.1212/01.wnl.0000219679.95223.4c.
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Strategic infarcts of the thalamus in vascular dementia.血管性痴呆中的丘脑策略性梗死
J Neurol Sci. 2002 Nov 15;203-204:91-7. doi: 10.1016/s0022-510x(02)00273-3.