Hara M, Shiogai T, Tamagawa T, Yokota H, Okada J, Takeuchi K
No Shinkei Geka. 1980 Mar;8(3):295-9.
Three heavy drinkers, the patients fell down stairs while inebriated and were hit on their heads. Utilizing CT, we found that the hematomas in all three cases were accompanied by ventricular hemorrhage which, in two of the cases, were similar to hypertensive intracerebral hematoma in the basal ganglia. None of the three had a history of hypertension. We are of the opinion that the vulnerability of cerebral arteries, especially in the basal ganglia, of such heavy drinkers added to the traumatic force and led to the pathogenic bleeding. We were unable to find a correlation between the intracerebral hematoma and the site of the hit. It is assumed that immediate removal of the hematoma in cases of intracerebral hematoma with ventricular bleeding can result in the survival of the patient.
三名酗酒者在醉酒时从楼梯上摔下，头部受伤。通过CT检查，我们发现这三例血肿均伴有脑室出血，其中两例类似于基底节区高血压性脑出血。这三人都没有高血压病史。我们认为，这类酗酒者脑动脉的脆弱性，尤其是基底节区的脑动脉，加上外伤力量，导致了出血发病。我们未能发现脑内血肿与撞击部位之间的关联。据推测，对于伴有脑室出血的脑内血肿患者，立即清除血肿可使其存活。
