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

JOURNAL TITLE: Indian Journal of Physical Medicine and Rehabilitation

Author
1. L Dorendrojit Singh
2. Aten Jongky
3. Annada Sankar Mohes
4. Th Bidyarani
5. AK Joy
ISSN
0973-2209
DOI
10.5005/ijopmr-26-4-109
Volume
26
Issue
4
Publishing Year
2015
Pages
2
Author Affiliations
    1. Department of Physical Medicine & Rehabilitation Regional Institute of Medical Sciences, Imphal
    1. Department of Physical Medicine & Rehabilitation, Regional Institute of Medical Sciences, Imphal -795004
    1. Department of Physical Medicine & Rehabilitation, Regional Institute of Medical Sciences, Imphal -795004
    1. Department of Physical Medicine & Rehabilitation, Regional Institute of Medical Sciences, Imphal -795004
    1. Department of Physical Medicine & Rehabilitation, Regional Institute of Medical Sciences, Imphal -795004
  • Article keywords

    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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