tailieunhanh - Báo cáo y học: "Post-coital intra-cerebral venous hemorrhage in a 78-year-old man with jugular valve incompetence: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Post-coital intra-cerebral venous hemorrhage in a 78-year-old man with jugular valve incompetence: a case report. | Albano et al. Journal of Medical Case Reports 2010 4 225 http content 4 1 225 jAl JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Post-coital intra-cerebral venous hemorrhage in a 78-year-old man with jugular valve incompetence a case report Beatrice Albano1 Carlo Gandolfo1 Massimo Del Sette2 Abstract Introduction Spontaneous intra-cerebral hemorrhage can occur in patients with venous disease due to obstructed venous outflow. Case presentation We report the case of a 78-year-old Caucasian man with jugular valve incompetence who experienced an intra-cerebral temporo-occipital hemorrhage following sexual intercourse. He had no other risk factors for an intra-cerebral hemorrhage. Conclusions To the best of our knowledge this is the first case of intra-cerebral hemorrhage due to jugular valve incompetence in association with the physical exertion associated with sexual intercourse. Introduction Non-traumatic spontaneous intra-cerebral hemorrhage is usually due to hypertensive arteriolosclerosis or to amyloid angiopathy which account for 78 to 88 of primary hemorrhages whereas secondary intra-cerebral hemorrhage is normally associated with arteriovenous malformation aneurysm cavernous angioma neoplasm coagulopathy or the misuse of drugs 1 . Ganglionic hemorrhages are probably of hypertensive origin while lobar hemorrhages are frequently due to amyloid angiopathy or vascular malformations 2 . Some authors have reported the occurrence of intracerebral hemorrhages that have been caused by venous diseases. These are usually located in the white matter at the border zone between deep and superficial venous systems where collaterals are poor. Venous intracerebral hemorrhages are associated with impaired venous hemodynamics as in the case of cerebral venous thrombosis compression of the superior cava vein or right cardiac failure 3 . Moreover the occurrence of petechial hemorrhages during cerebral venous thrombosis is a frequent finding .