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Bilateral talamik hemoraji

Bilateral thalamic himorrhage

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Abstract (2. Language): 
Multiple İntracerebral hemorrhage represents 2 % of ali intracranial hemorrhages. Multiple Intracerebral hemor-rhages have been known to occur most frequently in patients with coagulation defects, neoplasms, angiopathies or sinüs thrombosis. The finding of recurrent intracerebral hemorrhages is not unusual in patients with systemic arterial hypertension, but simuitaneous occurence of multiple hemorrhages is rare in these patients. However, multiple spontaneous intracerebral hemorrhages vvithout an identifiable etiology were also reported in the literatüre. Here, we descnbe a hypertensive patient who developed multiple intracerebral hematomas. The patient had bilateral thalamic hematoma that extended the lentiform nucleus. There was apathy, loss of emotional concern, upward gaze palsy, tetraparesis and hypertensive retinopathy in the neurologic examination. Conditions other than hypertension that might cause intracerebral hemorrhage were excluded by laboratuary investigations.
Abstract (Original Language): 
Multipi intraserebral hemoraji tüm intrakraniyal hemorajilerin %2'sidir. Multipl intraserebral hemorajinin en sık koag-ulasyon defektleri. neoplazmalar, anjiopatiler veya sinüs trombozu olan hastalarda ortaya çıktığı bilinir. Sistemik arterle! hipertansiyonu olan hastalarda farklı zamanlarda intraserebral kanama olması sıklıkla görülebilir ancak multipi kanamanın eş zamanlı ortaya çıkışı oldukça nadirdir. Bununla birlikte, herhangi bir etyoloji bulunmaksızın multipl intraserebral hematomun ortaya çıktığı da literatürde rapor edilmiştir. Bu yazıda hipertansiyonu olan ve mul¬tipi intraserebral hemoraji gelişen bir hasta tanımlanmıştır. Hastada lentiform nükleusa yayılan bilateral talamik hematom mevcuttu. Nörolojik muayenesinde apati, duygusal küntlük, yukarı bakış paraiizisi, tetraparezi ve hiper-tansif retinopati mevcuttu.Hipertansiyon dışında multipl intraserebral hemoraji yapan diğer nedenler laboratuar testleri ile ayrıştırıldı.
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REFERENCES

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