Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption

ARIBAL, SERKAN; Sivrioglu, Ali Kemal; SÖNMEZ, Güner; BAŞHEKİM, Çınar; Velioğlu, Murat; Incedayi, Mehmet

Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption

Ali Kemal SİVRİOĞLU, (GATA Haydarpaşa Eğitim Hastanesi, İstanbul, Türkiye)

Murat VELİOĞLU, (GATA Haydarpaşa Eğitim Hastanesi, İstanbul, Türkiye)

Mehmet İNCEDAYI, (GATA Haydarpaşa Eğitim Hastanesi, İstanbul, Türkiye)

Serkan ARIBAL, (GATA Haydarpaşa Eğitim Hastanesi, İstanbul, Türkiye)

Güner SÖNMEZ, (GATA Haydarpaşa Eğitim Hastanesi, İstanbul, Türkiye)

Çınar BAŞHEKİM (GATA Haydarpaşa Eğitim Hastanesi, İstanbul, Türkiye)

European Journal of General Medicine

3 0

Yıl: 2013 Cilt: 10 Sayı: 1 Sayfa Aralığı: 59 - 62 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption

Öz:

Bilateral körlük ve kooperasyon bozukluğu olan 50 yaşındaki erkek hasta acil servisimize başvurdu. Olgu, alkol bağımlısıydı ve bir gün öncesinde aşırı alkol tüketimi mevcuttu. Yapılan kontrastsız kranial BT incelemesi normaldi. 1,5T MR cihazında yapılan T2 ağırlıklı görüntülemede, bilateral putamen lokalizasyonunda yüksek sinyal intensitesi izlendi. Difüzyon ağırlıklı görüntülerde bu lokalizasyonlarda, difüzyon kısıtlılığı nedeniyle hiperintensiteler ve düşük ADC değerleri mevcuttu. İki hafta sonrasında hastada, aniden baş dönmesi ve konfüzyon ortaya çıktı. Yapılan kontrastsız kranial BTde, bazal ganglionlarda ve yaygın subkortikal beyaz cevherde ödem ve hemoraji izlendi. Hasta yoğun bakım ünitesine alındı ve bir gün sonra öldü. Metanol intoksikasyonunda, serebral ve intraventriküler hemoraji, serebral ödem, bilateral subkortikal beyaz madde nekrozu görülebilir. Metil alkol alımın takiben 2-3 hafta sonrasında ani genel durum bozukluğundan serebral subkortikal hemoraji sorumludur. Erken teşhis nedeniyle radyolojik görüntüleminin, hastanın mortalite ve morbiditesini azaltabileceğini düşünmekteyiz.

Anahtar Kelime:

Konular: Cerrahi

Aşırı alkol alımı sonrasında geç dönemde gelişen yaygın serebral subkortikal hemorajiler

Öz:

50 year old male patient who was suffering from cooperation disorder and bilaterally blindness was admitted to our emergency service. He was addicted to alcohol and had excessive alcohol consumption the day before. Cranial nonenhanced CT was normal. T2 weighed MR imaging performed at 1,5 T unit showed high signal intensity in bilateral putaminal foci.In this localization diffusion-weighed images(DWI) were hyperintense due to restricted diffusion and low ADC values. After two weeks, drowsiness and confusion were appeared suddenly. Cranial nonenhanced CT was showed extensive subcortical white matter and basal gan- glia abnormalities consistent with edema and hemorrhagic changes. The patient was transferred to intensive care unit and died after one day. In methanol intoxication, cerebral and intraventricular hemorrhage, cerebellar necrosis, diffuse cerebral edema, bilateral subcortical white matter necrosis and edema were defined It should also be known that 2 or 3 weeks after ingestion of methyl alcohol, the deterioration of the patient s general situation is responsible for cerebral subcortical hemorrhage. We have also thought that patients mortality and morbidity can be reduced with radiological imaging due to early diagnosis.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	Sivrioglu A, Velioğlu M, Incedayi M, ARIBAL S, SÖNMEZ G, BAŞHEKİM Ç (2013). Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption. , 59 - 62.
Chicago	Sivrioglu Ali Kemal,Velioğlu Murat,Incedayi Mehmet,ARIBAL SERKAN,SÖNMEZ Güner,BAŞHEKİM Çınar Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption. (2013): 59 - 62.
MLA	Sivrioglu Ali Kemal,Velioğlu Murat,Incedayi Mehmet,ARIBAL SERKAN,SÖNMEZ Güner,BAŞHEKİM Çınar Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption. , 2013, ss.59 - 62.
AMA	Sivrioglu A,Velioğlu M,Incedayi M,ARIBAL S,SÖNMEZ G,BAŞHEKİM Ç Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption. . 2013; 59 - 62.
Vancouver	Sivrioglu A,Velioğlu M,Incedayi M,ARIBAL S,SÖNMEZ G,BAŞHEKİM Ç Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption. . 2013; 59 - 62.
IEEE	Sivrioglu A,Velioğlu M,Incedayi M,ARIBAL S,SÖNMEZ G,BAŞHEKİM Ç "Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption." , ss.59 - 62, 2013.
ISNAD	Sivrioglu, Ali Kemal vd. "Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption". (2013), 59-62.

APA	Sivrioglu A, Velioğlu M, Incedayi M, ARIBAL S, SÖNMEZ G, BAŞHEKİM Ç (2013). Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption. European Journal of General Medicine, 10(1), 59 - 62.
Chicago	Sivrioglu Ali Kemal,Velioğlu Murat,Incedayi Mehmet,ARIBAL SERKAN,SÖNMEZ Güner,BAŞHEKİM Çınar Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption. European Journal of General Medicine 10, no.1 (2013): 59 - 62.
MLA	Sivrioglu Ali Kemal,Velioğlu Murat,Incedayi Mehmet,ARIBAL SERKAN,SÖNMEZ Güner,BAŞHEKİM Çınar Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption. European Journal of General Medicine, vol.10, no.1, 2013, ss.59 - 62.
AMA	Sivrioglu A,Velioğlu M,Incedayi M,ARIBAL S,SÖNMEZ G,BAŞHEKİM Ç Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption. European Journal of General Medicine. 2013; 10(1): 59 - 62.
Vancouver	Sivrioglu A,Velioğlu M,Incedayi M,ARIBAL S,SÖNMEZ G,BAŞHEKİM Ç Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption. European Journal of General Medicine. 2013; 10(1): 59 - 62.
IEEE	Sivrioglu A,Velioğlu M,Incedayi M,ARIBAL S,SÖNMEZ G,BAŞHEKİM Ç "Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption." European Journal of General Medicine, 10, ss.59 - 62, 2013.
ISNAD	Sivrioglu, Ali Kemal vd. "Common late-onset subcortical cerebral hemorrhage following excessive alcohol consumption". European Journal of General Medicine 10/1 (2013), 59-62.