Clinical characteristics and prognostic analysis of simultaneous multiple intracerebral hemorrhage
Objective:To explore the clinical characteristics and prognosis analysis of multiple cerebral hemorrhage involving the brainstem.Methods:A retrospective analysis was conducted on the clinical data of SMICH patients with brainstem involvement admitted to the Second Affiliated Hospital of Shandong First Medical University from January 2020 to March 2024,to explore their clinical characteristics,treatment strategies,and prognosis.Results:There were 11 patients with multiple cerebral hemorrhage involving the brainstem,including 7 males and 4 females,with an average onset age of(60.7±12.0)years.6 cases received conservative treatment.There were 5 patients who underwent surgical treatment,including 3 patients undergoing ventricular drainage and hematoma puncture drainage,1 patient undergoing ventricular drainage,and 1 patient who underwent hematoma removal and decompressive craniectomy.Among 11 SMICH patients with brainstem involvement,3 died and 8 survived.Follow-up of surviving patients showed that 5 patients scored 4-5 on the GOS score and 3 patients scored 3 on the GOS score.Conclusion:The symptoms of SMICH involving the brainstem lack specificity,and a comprehensive analysis of its etiology and severity is needed.Individualized treatment plans should be adopted,and early intervention can improve patient prognosis.
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