Deep parenchymal hemorrhage

Introduction Hypertensive cerebral hemorrhage occurs mostly in the deep arterioles of the brain. Hypertensive cerebral hemorrhage is one of the most serious complications of hypertension. The incidence rate of males is slightly higher, which is more common in elderly people aged 50-60 years, but it can also occur in young hypertensive patients.

Cause

Hypertensive patients with high blood pressure caused by emotional agitation, excessive brain power and physical labor or other factors, resulting in rupture of the diseased cerebrovascular rupture.

an examination

Related inspection

Brain CT examination of intracranial MRI examination of intracranial Doppler blood flow map (TCD)

Clinical symptoms: The clinical features are sudden and severe headaches, and often accompanied by convulsions, lethargy or coma. Hemiplegia and pupillary changes occurred on the contralateral side of the hematoma, and the pupils on both sides were narrowed at the early stage. When the hematoma expanded, the cerebral edema aggravated, the intracranial pressure increased, the cerebral palsy caused by the dilated pupils on the hematoma side, respiratory disorders, and pulse slowed down. ,High blood pressure. Then it turned into central failure.

Check: brain CT, magnetic resonance scan.

Differential diagnosis

1. Patients with coma should be differentiated from disturbances of consciousness caused by carbon monoxide poisoning, hepatic coma, uremia, and hypoglycemia. Mainly detailed inquiries about medical history, signs and CT, cerebrospinal fluid and other tests.

2, intracranial lesions, craniocerebral trauma, meningitis and other diseases: according to the severity of the disease, history of trauma, fever and other clinical manifestations as well as CT, MRI, cerebrospinal fluid and other tests to make a diagnosis.

3, and other cerebrovascular diseases such as cerebral infarction, subarachnoid hemorrhage, according to the pathogenesis, symptoms, signs and imaging examination confirmed.

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