• Title/Summary/Keyword: Repeated cerebellar hemorrhage

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Capillary Telangiectasia of the Posterior Fossa Presenting with Repeated Cerebellar Hemorrhage - A Case Report - (반복적인 소뇌 출혈로 발현한 후두와 모세혈관 확장증 - 증례보고 -)

  • Lee, Yong-Mook;Koh, Hyeon-Song;Cho, Jun-Hee;Youm, Jin-Young;Song, Shi-Hun;Kim, Youn
    • Journal of Korean Neurosurgical Society
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    • v.30 no.2
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    • pp.211-216
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    • 2001
  • Hemorrhage due to capillary telangiectasia is rare. We report a case of capillary telangiectasia presenting with repeated cerebellar hemorrhage in a 38-year-old male. To our knowledge this is the first case of repeated cerebellar hemorrhage from the capillary telangiectasia. At the first operation, we removed hematoma only, but rebleeding occurred repeatedly in the same area. Finally, we evacuated the recurrent hematoma and vascular mass of capillary telangiectasia at the second operation under surgical microscope. Based on the findings of this case and a review of the literature, we conclude that capillary telangiectasia can be the cause of the massive repeated hemorrhage.

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Two Attenuated Cases of Methicillin-Resistant Staphylococcus aureus Infection Treated by Oriental Internal Medicine (한방처치를 통한 Methicillin내성 포도구균 감염의 음성화 및 약독화 2례)

  • Ko, Chang-Nam;Yun, Sung-Woo;Park, Sung-Wook;Lee, Hyung-Chel;Lee, Sang-Wook
    • The Journal of Internal Korean Medicine
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    • v.23 no.2
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    • pp.298-305
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    • 2002
  • These cases were performed on the bases of clinical consideration about patients who had Methicillin-Resistant Staphylococcus aureus(MRSA) infection. One patient was a 67-years-old women who had sequela of inter cranial hemorrhage & inter ventricular hemorrhage, hypertention, urinary tract infection and pneumonia. Clinical symptoms were intermittent fever, sputum, Lt. side hemiparesis and dysphagia. She was chronic, repeated infection state. It could be regarded as "unpreparedness of the spirit which animates and controls the universe; 正氣虛", the oriental term which indicates a condition of chronic disease or general weakness. According to the oriental medicine principle, oriental medicine was taken such as Wunggunza-tang(六君子湯) and the patient had taken a turn for the better. After 3 months, MRSA infection diappeared. The other patient was a 43-years-old women who had Both brain stem infarction, Lt. cerebellar infarction, hypercholesterolemia, urinary tract infection and pneumonia, Clinical symptoms were quadriplegia, dysphagia(levin tube insert state), aphasia, respiration disorder(tracheostomy cannular keep state) and sputum. She was chronic, repeated infection state. It could be regarded as "unpreparedness of spleen energy, unpreparedness of both energy and blood; 脾氣虛, 氣血兩虛", the oriental term which indicates a condition of chronic disease or immunodeficiency. According to the oriental medicine principle, oriental medicine was taken such as Bojungyggi-tang(補中益氣湯), Palmul-tang(八物湯) and the patient had taken a turn for the better. After I month, MRSA was turned into Escherichia coli.

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Cerebellar cavernous hemangioma that presented with posterior neck myalgia (뒷목 근육통 증상을 보인 소뇌의 해면 혈관종 1예)

  • Baek, Seung-Ah;Yoon, Kyung-Lim;Shim, Kye-Shik;Bang, Jae-Seung
    • Clinical and Experimental Pediatrics
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    • v.51 no.12
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    • pp.1363-1367
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    • 2008
  • Cavernous hemangioma can occur in the entire brain but rarely in cerebellum, especially in the pediatric age group. Headache, seizure, gait disturbance, recurrent bleeding may be seen. This tumor is a relatively benign condition but if the lesion located in the posterior fossa or the brain stem bleeds, irreversible brain damage may occur because of its restrictive space. Moreover, it must be differentiated from malignant tumors. We report 12.6 year-old boy who represented posterior neck myalgia as the presenting symptom. The pain continued for about a month despite analgesic medications. Brain MRI showed intracranial hemorrhage in the left cerebellum (4.5 cm) representing repeated hemorrhages at different times and originated from the cavernous hemangioma accompanied by mild hydrocephalus. The lesion was surgically removed successfully and the cavernous hemangioma was confirmed by pathologic findings. After the follow-up period of 14 months, he is in good condition without any complications.