Abstract
Primary spontaneous brain stem hemorrhage occurs rarely; its frequency is reported to range between 6% and 16% of all intracerebral hemorrhages (1, 5, 7–9, 25). Hypertension as the most frequent cause is to be found in 90 – 96.7% (5, 25). Microangioma, aneurysm, intoxication, acute infection, and tumor-bleeding represent a rare cause of hemorrhage. The fulminating malignant course is characterised by rapid onset of coma, miosis, tetraplegia and respiratory disturbances. Three quarters of all patients die within 24 hours (8, 13, 25). Several authors (19, 21, 22) report on single cases with remission, or a recurrent, benign course. These are mostly cases of younger patients without hypertension. The causes are reported to be arteriovenous malformations.
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Hopp, G., Schneider, E., Grau, H., Fischer, PA., Steudel, W.I. (1983). Follow-Up Observations in Spontaneous Brain Stem Hemorrhage. In: Jensen, HP., Brock, M., Klinger, M. (eds) Acute Non-Traumatic Intracranial Bleedings. Posterior Fossa Tumors in Infancy. Advances in Neurosurgery, vol 11. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-05589-2_25
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DOI: https://doi.org/10.1007/978-3-662-05589-2_25
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