Spontaneous Bilateral Basal Ganglia Hemorrhage Due to Severe Hypertension
Mohamed Sheikh Hassan, Abdiladhif Mohamed Ali, Mohamed Farah Osman, Abdulkadir Ahmed Department of Neurology, Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, SomaliaCorrespondence: Mohamed Sheikh Hassan, Email dr.m.qalaf@gmail.comIntroduction: The basal ganglia, which comprise ma...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-07-01
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| Series: | Vascular Health and Risk Management |
| Subjects: | |
| Online Access: | https://www.dovepress.com/spontaneous-bilateral-basal-ganglia-hemorrhage-due-to-severe-hypertens-peer-reviewed-fulltext-article-VHRM |
| _version_ | 1818116073985146880 |
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| author | Sheikh Hassan M Mohamed Ali A Farah Osman M Ahmed A |
| author_facet | Sheikh Hassan M Mohamed Ali A Farah Osman M Ahmed A |
| author_sort | Sheikh Hassan M |
| collection | DOAJ |
| description | Mohamed Sheikh Hassan, Abdiladhif Mohamed Ali, Mohamed Farah Osman, Abdulkadir Ahmed Department of Neurology, Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, SomaliaCorrespondence: Mohamed Sheikh Hassan, Email dr.m.qalaf@gmail.comIntroduction: The basal ganglia, which comprise many subcortical nuclei, constitute an integrated functional unit of the brain. Spontaneous hemorrhage of the basal ganglia is mostly unilateral and secondary to uncontrolled hypertension. Simultaneous bilateral basal ganglia hemorrhage (SBBGH) is very rare. So far, only 40 cases have been documented so far.Case Presentation: Here, we report a 37-year-old man with a past medical history of uncontrolled hypertension who was brought to the emergency department due to severe headache, worsening confusion, and right-sided weakness for 2 days. An urgent non-contrast brain CT performed immediately revealed bilateral intracerebral hemorrhage (ICH) of the same age in the basal ganglia. On admission, blood pressure was 220/120. Other vital signs were normal. The patient was admitted to the ICU, IV antihypertensive and antiedema medications were given. After clinical improvement, he was transferred to the neurology ward on the fifth day. After another 5 days in the neurology inpatient ward, the patient clinically improved and was referred to the rehabilitation department.Conclusion: Due to the rarity of SBBGH, it is particularly interesting to report this remarkable case of a man with simultaneous spontaneous bilateral ganglia hemorrhage secondary to uncontrolled hypertension.Keywords: uncontrolled hypertension, bilateral basal ganglia, hemorrhagic stroke |
| first_indexed | 2024-12-11T04:16:43Z |
| format | Article |
| id | doaj.art-d3373cce87754438baa95444011f9423 |
| institution | Directory Open Access Journal |
| issn | 1178-2048 |
| language | English |
| last_indexed | 2024-12-11T04:16:43Z |
| publishDate | 2022-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Vascular Health and Risk Management |
| spelling | doaj.art-d3373cce87754438baa95444011f94232022-12-22T01:21:14ZengDove Medical PressVascular Health and Risk Management1178-20482022-07-01Volume 1847347776389Spontaneous Bilateral Basal Ganglia Hemorrhage Due to Severe HypertensionSheikh Hassan MMohamed Ali AFarah Osman MAhmed AMohamed Sheikh Hassan, Abdiladhif Mohamed Ali, Mohamed Farah Osman, Abdulkadir Ahmed Department of Neurology, Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, SomaliaCorrespondence: Mohamed Sheikh Hassan, Email dr.m.qalaf@gmail.comIntroduction: The basal ganglia, which comprise many subcortical nuclei, constitute an integrated functional unit of the brain. Spontaneous hemorrhage of the basal ganglia is mostly unilateral and secondary to uncontrolled hypertension. Simultaneous bilateral basal ganglia hemorrhage (SBBGH) is very rare. So far, only 40 cases have been documented so far.Case Presentation: Here, we report a 37-year-old man with a past medical history of uncontrolled hypertension who was brought to the emergency department due to severe headache, worsening confusion, and right-sided weakness for 2 days. An urgent non-contrast brain CT performed immediately revealed bilateral intracerebral hemorrhage (ICH) of the same age in the basal ganglia. On admission, blood pressure was 220/120. Other vital signs were normal. The patient was admitted to the ICU, IV antihypertensive and antiedema medications were given. After clinical improvement, he was transferred to the neurology ward on the fifth day. After another 5 days in the neurology inpatient ward, the patient clinically improved and was referred to the rehabilitation department.Conclusion: Due to the rarity of SBBGH, it is particularly interesting to report this remarkable case of a man with simultaneous spontaneous bilateral ganglia hemorrhage secondary to uncontrolled hypertension.Keywords: uncontrolled hypertension, bilateral basal ganglia, hemorrhagic strokehttps://www.dovepress.com/spontaneous-bilateral-basal-ganglia-hemorrhage-due-to-severe-hypertens-peer-reviewed-fulltext-article-VHRMuncontrolled hypertensionbilateral basal gangliahemorrhagic stroke |
| spellingShingle | Sheikh Hassan M Mohamed Ali A Farah Osman M Ahmed A Spontaneous Bilateral Basal Ganglia Hemorrhage Due to Severe Hypertension Vascular Health and Risk Management uncontrolled hypertension bilateral basal ganglia hemorrhagic stroke |
| title | Spontaneous Bilateral Basal Ganglia Hemorrhage Due to Severe Hypertension |
| title_full | Spontaneous Bilateral Basal Ganglia Hemorrhage Due to Severe Hypertension |
| title_fullStr | Spontaneous Bilateral Basal Ganglia Hemorrhage Due to Severe Hypertension |
| title_full_unstemmed | Spontaneous Bilateral Basal Ganglia Hemorrhage Due to Severe Hypertension |
| title_short | Spontaneous Bilateral Basal Ganglia Hemorrhage Due to Severe Hypertension |
| title_sort | spontaneous bilateral basal ganglia hemorrhage due to severe hypertension |
| topic | uncontrolled hypertension bilateral basal ganglia hemorrhagic stroke |
| url | https://www.dovepress.com/spontaneous-bilateral-basal-ganglia-hemorrhage-due-to-severe-hypertens-peer-reviewed-fulltext-article-VHRM |
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