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Fundus hemorrhage in patients with intracranial hemorrhage caused by cerebrovascular disease--its clinical significance

, : Fundus hemorrhage in patients with intracranial hemorrhage caused by cerebrovascular disease--its clinical significance. No to Shinkei 44(1): 13-17

To clarify the significance of fundus hemorrhage in the acute stage of intracranial hemorrhage due to cerebrovascular disease (HCVD), the incidence of such hemorrhage (retinal, preretinal, and subhyaloid hemorrhage) was examined and its correlations with the severity of the disturbance of consciousness and the prognosis were investigated. Two hundred sixteen HCVD patients with intracranial hemorrhage were the subjects of this study, including 87 cases of subarachnoid hemorrhage (SAH), 60 cases of hypertensive intracerebral hemorrhage (HICH), 54 cases of arteriovenous malformation (AVM), and 15 cases of Moyamoya disease. Fundus hemorrhage was recognized in 41 cases of SAH (47%), 5 cases of HICH (8%), 3 cases of AVM (6%), and 2 cases of Moyamoya disease (13%). The incidence of fundus hemorrhage was significantly higher in SAH than in the other type of HCVD associated with intracranial hemorrhage. Among patients with severe disturbance of consciousness (JCS 100-300), fundus hemorrhage was recognized in 69% with SAH, 13% with HICH, 17% with AVM, and none with Moyamoya disease. Therefore, patients with both fundus hemorrhage and severe disturbance of consciousness in the acute stage are most likely to have SAH, but HICH and AVM should be also taken into consideration. In patients with slight disturbance of consciousness (JCS 0-30), fundus hemorrhage was only noted in SAH (27%) and not in other types of HCVD associated with intracranial hemorrhage. Thus, SAH is highly likely to be the primary HCVD associated with intracranial hemorrhage, if we recognize fundus hemorrhage in patients with slight disturbance of consciousness in the acute stage.


PMID: 1562380

Other references

Lipetzky, T.S.hrawyer, K., 1990: A winning plan for playing the export game in Japan. AgExporter United States Department of Agriculture Foreign Agricultural Service 2(5): 4-6

Mostini, Leonardo., 1996: Winter nesting of collared dove, Streptopelia decaocto, in the Novara plain NW Italy La tortora dal collare orientale, Streptopelia decaocto, nidifica anche in inverno nella pianura Novarese. Rivista Italiana di Ornitologia. Novembre; 661: 80-81

Pugachev, A.G., 1972: Chronic pyelonephritis in children. Urologiia i Nefrologiia 37(1): 33-36

Bearinger, L.H.; Pettingell, S.L.; Resnick, M.D.; Potthoff, S.J., 2010: Reducing weapon-carrying among urban American Indian young people. To examine the likelihood of weapon-carrying among urban American Indian young people, given the presence of salient risk and protective factors. The study used data from a confidential, self-report Urban Indian Youth Health Survey with 200 forced...

Kavitha, Z.; Savithri, P., 2002: New record of some natural enemies on ber pests in Tirupati Region. A study on the natural enemies, i.e. predators and parasites, associated with various pests of ber (Ziziphus jujuba) in Tirupati, Andhra Pradesh, India, was conducted. A brownish black pentatomid bug, Canthecona furcellata [Eocanthecona furcellata...

Raqib, R.; Lindberg, A.A.; Wretlind, B.; Bardhan, P.K.; Andersson, U.; Andersson, J., 1995: Persistence of local cytokine production in shigellosis in acute and convalescent stages. Shigella infection is accompanied by an intestinal activation of epithelial cells, T cells, and macrophages within the inflamed colonic mucosa. A prospective study was carried out to elucidate the cytokine pattern in Shigella infection linked to d...

Gabnai, M., 1972: Experience with audiometric follow-up studies on school children. Orvosi Hetilap 113(39): 2356-2358

He, M.; Siow, R.C.M.; Sugden, D.; Gao, L.; Cheng, X.; Mann, G.E., 2011: Induction of HO-1 and redox signaling in endothelial cells by advanced glycation end products: a role for Nrf2 in vascular protection in diabetes. Hyperglycemia and diabetes are associated with increased formation of advanced glycation end products and enhanced oxidative stress, leading to the progression of diabetic vascular disease. We have investigated the mechanisms by which AGE-modified...

Nĕmec, B., 1976: The supreme human aim--all for man, all for his welfare. Casopis Lekaru Ceskych 115(29-30): 873-874

Thiele, J.J.; Schroeter, C.; Hsieh, S.N.; Podda, M.; Packer, L., 2001: The antioxidant network of the stratum corneum. Many studies have demonstrated beneficial health effects of topical antioxidant application; however, the underlying mechanisms are not well understood. To better understand the protective mechanism of oxogenous anti-oxidants, it is important to c...