Haemorrhagic Cerebrovascular Accident (CVA) Etiology and Case Report

Abstract A haemorrhagic cerebrovascular accident refers to a spontaneous bleeding in the cerebral parenchyma, located either supratentorial or infratentorial, that occurs in the absence of a surgical or traumatic cause. The incidence is estimated at 12-15 new cases per 100.000 inhabitants per year. Intracranial haemorrhage is the third most frequent cause of stroke, the vast majority being represented by primary/hypertensive (spontaneous) intracerebral haemorrhage, ruptured saccular aneurysm, a vascular malformation or haemorrhage associated with the use of anticoagulants or thrombolytic agents. A cerebral tomography computer examination is the examination of choice in diagnosis of haemorrhagic CVAs. The treatment can be either therapeutic or surgical, depending on the case, with the consideration that an immediate medical treatment is mandatory for the best odds of recovery.(1)

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A Rare Case of Bilateral Spontaneous Intracerebral Haemorrhage Presenting With Left Hemiplegia: A Case Report

Indian Journal of Physical Medicine and Rehabilitation ◽

10.5005/ijopmr-26-4-109 ◽

2015 ◽

Vol 26 (4) ◽

pp. 109-110

Author(s):

AK Joy ◽

Annada Sankar Mohes ◽

Th Bidyarani ◽

L Dorendrojit Singh ◽

Aten Jongky

Keyword(s):

Case Report ◽

Basal Ganglia ◽

Intracerebral Haemorrhage ◽

Vascular Malformation ◽

Rare Case ◽

Case Reports ◽

Cranial Nerve Involvement ◽

12Th Cranial Nerve ◽

Contrast Ct ◽

Spontaneous Intracerebral Haemorrhage

Abstract Haemorrhage is responsible for around 11% of stroke syndrome. Haemorrhage usually occurs at a single site. However, it can be at multiple sites in some specific conditions i.e. coagulopathy, vascular malformation, malignancy etc. A 56-year-old male with left sided hemiplegia was admitted in the rehabilitation ward of RIMS, Imphal. He was hypertensive and was on irregular medication for that. He was also an alcoholic and chronic smoker for last 20 years. Patient was conscious and clinical examination revealed left 7th and 12th cranial nerve involvement with left hemiplegia. Non-contrast CT scan of brain revealed right thalamus and left basal ganglia haemorrhages. Thorough history and investigations did not reveal any aetiology for bilateral haemorrhage. Patient was treated with conservative management and improvement was noticed in serial follow-ups. There are very few case reports about bilateral spontaneous intracerebral haemorrhage associated with other diseases like migraine, Japanese encephalitis etc. Cause of bilateral haemorrhage in our case is doubtful.

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Brain abscess developing in a non-operated spontaneous intracerebral haemorrhage: case report and literature review.

Turkish Neurosurgery ◽

10.5137/1019-5149.jtn.6591-12.2 ◽

2012 ◽

Author(s):

Luigi Rigante ◽

Tommaso Tufo ◽

Giancarlo Scoppettuolo ◽

Concetta Donato ◽

Annunziato Mangiola

Keyword(s):

Case Report ◽

Literature Review ◽

Brain Abscess ◽

Intracerebral Haemorrhage ◽

Spontaneous Intracerebral Haemorrhage

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Endobronchial ultrasound in Dieulafoy’s disease of the bronchus: an additional application of EBUS

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2010.287 ◽

2016 ◽

Vol 73 (4) ◽

Author(s):

C. Gurioli ◽

G.L. Casoni ◽

C. Gurioli ◽

S. Tomassetti ◽

M. Romagnoli ◽

...

Keyword(s):

Case Report ◽

Gastrointestinal Tract ◽

Vascular Malformation ◽

Clinical Utility ◽

Bronchial Tree ◽

Endobronchial Ultrasound ◽

Massive Hemoptysis ◽

Spontaneous Bleeding ◽

Arterial Vessel ◽

Dieulafoy’S Disease

Dieulafoy’s disease is a rare vascular malformation represented by an abnormally enlarged submucosal arterial vessel. This malformation is mostly found in gastrointestinal tract causing spontaneous bleeding although a few cases have been described in the bronchial tree. Recognizing Dieulafoy’s malformation is crucial for the bronchoscopist in order to avoid biopsy that can lead to a massive hemoptysis, sometimes fatal. In this case report we show the clinical utility of endobronchial ultrasound (EBUS) in the evaluation of bronchial alteration suspicious for Dieulafoy’s malformation.

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Meningocerebral Angiodysplasia: Post-Mortem Magnetic Resonance Imaging and Autopsy

The Neuroradiology Journal ◽

10.1177/197140090902200412 ◽

2009 ◽

Vol 22 (4) ◽

pp. 435-438

Author(s):

M. Vaněčková ◽

Z. Seidl ◽

B. Goldova ◽

I. Vitkova ◽

A. Baxova ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Magnetic Resonance ◽

Vascular Malformation ◽

Renal Agenesis ◽

Diagnostic Methods ◽

Post Mortem ◽

Prenatal Ultrasonography ◽

Resonance Imaging ◽

Cerebral Parenchyma

This case report describes a finding of vascular malformation of an aborted foetus of gestational age of the 22nd week. This concerns meningocerebral angiodysplasia, located in the posterior fossa and around the thalami. This disease is rare and is often accompanied by renal agenesis. The finding was complicated by hydrocephalus. Our report compares all three diagnostic methods (prenatal ultrasonography, post-mortem MR and autopsy). Prenatal ultrasonography described only hydrocephalus and reduction of cerebral parenchyma. MR displayed the extent of the malformation, the exact diagnosis was however determined by histological examination. MR described agenesis of structures of midbrain, which was confirmed by autopsy.

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