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A small amount of cerebral hemorrhage Clinical manifestations and diagnosis of patients


Ho received a small amount of cerebral hemorrhage in 18 cases, male lO down , down 8 females , aged 47 to 85 years old, average 62.8 years old. 12 patients with a history of hypertension , high blood pressure who were hospital was 2 down , 4 down blood pressure to normal. Activity in the pathogenesis of 9 down, 1 down after drinking , rest and sleep in 8 cases. Clinical manifestations: conscious and in 17 cases, 1 case of drowsiness , headache, 4 down , 2 down vomit , urine will be obstacles to a fall,[link widoczny dla zalogowanych], no headache, 14 cases , language barriers in 6 cases, 1 case of simple facial paralysis , hemiparesis l4 down , no paralysis 3 cases , there are pathological reflex 2 down. All the patients had no symptoms of Klinefelter items strong and CT examination: ¨ cases of putaminal hemorrhage , 2 cases were bilateral putaminal hemorrhage , thalamic hemorrhage in 4 cases, patients with temporal lobe l , 1 inverted limb of the internal capsule , caudate nucleus head 1 case, and such bleeding sites concentrated in the basal ganglia near the shell edge to the largest amount of 067 ~ 13.3M, are in the 15m] above. 2 discussion is that small amount of bleeding blood in the ] 5ml following cerebral hemorrhage. Park, less blood loss, mild symptoms are often easily confused with cerebral infarction . Pour a small amount of cerebral hemorrhage in 18 patients from the clinical manifestations and pathogenesis of the secondary inspection summary. To find out the following characteristics : ① static disease, l8 cases reported in this group , Clinical manifestations of light , and only 4 down the performance of headache, 14 cases of hemiparesis ( muscle strength will be on in grade Ⅳ ), 3 patients without any signs ④ better prognosis , most patients do not leave sequelae . ⑤ most of the normal lumbar puncture and cerebrospinal fluid . due to bleeding Small amount of hemorrhage limitations, hemorrhage and edema around the light , less pressure on the surrounding tissue . coupled with the bleeding site and more in the quiet area, not affecting the pyramidal tract and midline structures , it is only mild clinical signs or do not appear Signs due to bleeding within the brain parenchyma limited , not broken or the next person ventricular cavity, lumbar puncture and cerebrospinal fluid can be colorless and transparent , so that CT examination of patients , such as not only based on clinical performance is difficult to make the diagnosis .