Clinical characteristic of acute multifocal cerebral hemorrhage in 42 cases

CHEN Xuan; SHI Lei; LI Wei-rong

Abstract：Objective:Tostudytheetiology,pathogenesisandclinicalfeaturesofacuteMultifocalcerebralheMorrhage ( AMCH)and suMMarize its diagnosis and treatMent. Methods:Retrospective analysis was perforMed to analyze the data and the treatMent prograMs of 42 pateints with acute cerebral heMorrhage in our hospital froM August 2010 to August 2014. Re-sults:The results of pathogeny showed 23 cases with hypertension(54. 76%),10 cases with diabetes(23. 81%),7 cases with heart disease(16. 67%),1 case with leukeMia(2. 38% )and 1 cases with vasculitis(2. 38%). HeMorrhage sites located at basal ganglia(49 cases,53. 26%),brain lobe(24 cases,26. 09%),thalaMus(9 cases,9. 78%),cerebelluM(5 cases,5. 43%),external capsule(3 cases,3. 26%)and brain dry(2 cases,2. 17%). 4 patients and 38 patients underwent surgical treatMent and Medical treatMent,respectively,of which 6 cases were cured,12 cases iMproved,20 cases die,and the Mortality rate was 52. 63%. Conclusion:hypertension and diabetes are the Main cause of acute Multifocal cerebral heMorrhage. AMCH is charaterized by low incidence,rapid onset,severe illness,high Mortality,different levels of consciousness and liMb MoveMent disorder. Clinicians need to Master the clinical features and tiMely give the appropriate treatMent.