Clinical Analysis of 35 Brain Stem Hemorrhage Cases

We retrospectively analyzed 35 brain stem hemorrhage cases verified through computer tomography or magnetic resonance in our hospital. After conservative treatments, 12(34. 3%)of 35 cases fully recovered, 14(40. 0%)cases improved, 4(11. 4%)cases deteriorated and 5(14. 3%)died. Among these 5 dead cases, 3 cases were pontine hemorrhage, 1 case was midbrain hemorrhage and 1 case was medulla oblongata hemorrhage. These 5 dead cases all developed brain stem failure, cerebral hernia and other severe complications including multiple organ failure, pulmonary infection, renal inadequacy and stress ulcer et al. Among those 8 cases whose hemorrhagic focus diameter greater than 2. 0 centimeters 3 cases died. Among those 27 cases whose hemorrhagic focus diameter smaller than 2. 0 centimeters 2 cases died. This demenstrated that prognosis of brain stem hemorrhage correlated with hemorrhage location, hemorrhage quantity, complications et al. Imaging examination plays important place in brain stem hemorrhage. Key words: Brain stem hemorrhage; Prognosis