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- W2381946236 abstract "Objective To investigate the pathophysiology,clinical characteristics,diagnosis and outcome of acute multiple cerebral hemorrhage(AMCH).Methods We reported 5 cases with AMCH and reviewed 32 reference papers regarding AMCH in China.The relevant clinical data were summarized.Results A total of 786 cases of AMCH were found.The male to female ratio was 1.97:1.There were 1469 hematomas reported in 700 cases among 29 references.Among them,678 hematomas were located in basal ganglion(46.15%),461 in cortical area(31.38%),150 in thalamus(10.21%),108 in brainstem(7.35%),70 in cerebellum(4.77%),and 2 in other location(0.14%).In 469 cases,the distribution of hematoma was reported with 328 cases(69.94%)in supratentorium,29(6.18%)in infratentorium,and 112(23.88%)in both supra-and infratentorium.In 661 cases among 29 references,there were 586 cases(88.65%)with 2 hematomas,61(9.23%)with 3 hematomas,and 14(2.12%)with more than 4 hematomas.In 786 cases among 33 references,the causes of bleeding were hypertension in 591 cases(75.19%),amyloid angiopathy in 54 cases(6.87%),hematologic disease in 17 cases(2.16%),anticoagulation or thrombolysis in 15 cases(1.91%),brain vascular malformation in 14 cases(1.79%),tumor bleeding in 10 cases(1.27%),dural sinus thrombosis in 2 cases(0.25%),moyamoya disease in 2 cases(0.25%)and unknown in 80 cases(10.18%).The overall mortality rate was 39.31%.Mortality rate was highest in patients with only infratentorial hematoma(76.47%).and lowest in patients with only supratentorial hematoma(33.13%).Conclusion The causes of AMCH are diverse and most frequently related to hypertensive hemorrhage.Although AMCH is not frequently seen,higher mortality rate is noted especially related to infratentorial hematoma.DSA has an irreplaceable diagnostic value." @default.
- W2381946236 created "2016-06-24" @default.
- W2381946236 creator A5056283391 @default.
- W2381946236 date "2013-01-01" @default.
- W2381946236 modified "2023-09-28" @default.
- W2381946236 title "Acute multiple cerebral hemorrhage:report of 5 cases and literature review of 32 reference papers-Clinical analysis of 786 cases" @default.
- W2381946236 hasPublicationYear "2013" @default.
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