Multiple Spontaneous Simultaneous Intracerebral Hemorrhages

Abstract

Simultaneous occurrence of intracerebral hemorrhage (ICH) in different arterialterritories is an uncommon event. We report on two cases of multiplespontaneous simultaneous ICH for which we could find no specificcause. A 73-year-old man, with no related medical history, was admittedto the hospital with simultaneous bithalamic ICH, and subsequently diedof recurrent pneumonia. Second patient was a 60-year-old man who presentedwith simultaneous ICH in the pons and thalamus; he died of recurrentbleeding. We review the possible pathological mechanisms, clinicaland radiologic features of simultaneous multiple ICH.