25 Brainstem and Thalamic Intraparenchymal Hemorrhage

We enrolled 280 intubated babies with birth weights of less than 1,751 g in a double-blind randomized prospective clinical trial to evaluate whether phenobarbital influences the likelihood of developing subependymal-intraventricular-intraparenchymal hemorrhage. Phenobarbital was associated with an increased risk of developing any subependymal-intraventricular-intraparenchymal hemorrhage and was not associated with a diminished risk of either severe hemorrhage or germinal matrix hemorrhage. This increased risk was apparent even after we considered the influence of phenobarbital levels, timing of phenobarbital administrations, institutional differences, quality of ultrasound scans, gestational age- and birth weight-specific effects, ascertainment bias, and other possible confounders of phenobarbital administration.

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Intraparenchymal and Intraventricular Hemorrhage without Mass Effect in Traumatic Coma

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/s0317167100032157 ◽

1991 ◽

Vol 18 (4) ◽

pp. 458-462 ◽

Cited By ~ 3

Author(s):

Jen-Pei Lee

Keyword(s):

Brain Stem ◽

Intraventricular Hemorrhage ◽

Diffuse Axonal Injury ◽

Mass Effect ◽

Intraparenchymal Hemorrhage ◽

Focal Lesions ◽

Diffuse Brain Injury ◽

Common Location ◽

Head Injured ◽

Injured Patients

ABSTRACT:A group of 57-head injured patients showing computerized tomographic (CT) findings compatible with “diffuse brain injury” or of the so called “diffuse axonal injury” is analyzed. Thirty-four patients showed intraparenchymal hemorrhage in the CT scan study, 8 intraventricular hemorrhage and 15 patients had both intraparenchymal and intraventricular hemorrhage. Forty percent (23/57) of those with these findings had associated intracranial focal lesions. The deep nuclei are the most common location of intraparenchymal hemorrhage. Signs of brain stem hemorrhage were seen in 9 patients. Forty-nine percent of patients in this series had a good outcome. Old age (>60), abnormal motor response, abnormal eye signs, associated with focal lesions, and evidence of brain stem hemorrhage are reliable prognostic parameters for a grave outcome.

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Postoperative ‘STEMI’ in Intracerebral Hemorrhage due to Arteriovenous Malformation: A Case Report and Review of Literature

Case Reports in Critical Care ◽

10.1155/2019/9048239 ◽

2019 ◽

Vol 2019 ◽

pp. 1-5

Author(s):

Ravinder Datt Bhanot ◽

Jasleen Kaur ◽

Shitiz Sriwastawa ◽

Kendall Bell ◽

Kushak Suchdev

Keyword(s):

Myocardial Infarction ◽

Intracerebral Hemorrhage ◽

Arteriovenous Malformation ◽

Cardiac Biomarkers ◽

Review Of Literature ◽

Fibrinolytic Agents ◽

Intraparenchymal Hemorrhage ◽

Ecg Changes ◽

St Segment ◽

Electrocardiogram Ecg

Electrocardiogram (ECG) changes suggestive of cardiac ischemia are frequently demonstrated in patients with ischemic stroke and subarachnoid hemorrhage. However, little is known of such changes particularly acute ST segment myocardial infarction (STEMI) in patients with intracerebral hemorrhage (ICH), especially after neurosurgery. We present a patient with intraparenchymal hemorrhage due to cerebral arteriovenous malformation (AVM) who exhibited acute STEMI after neurosurgery. Serial cardiac biomarkers and echocardiograms were performed which did not reveal any evidence of acute myocardial infarction. The patient was managed conservatively from cardiac stand point with no employment of anticoagulants, antiplatelet therapy, fibrinolytic agents, or angioplasty and recovered well with minimal neurological deficit. This case highlights that diffuse cardiac ischemic signs on the ECG can occur in the setting of an ICH after neurosurgery, potentially posing a difficult diagnostic and management conundrum.

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