Multiple Brain Hematomas Possibly Associated to High Homocysteine Levels
Hypertension still accounts to be one of the major causes behind intracerebral bleeds in the young patients. The knowledge behind multiple bleeds in the brain of young patients (<40 age) is still to be further evaluated. Non-traumatic intracerebral hemorrhage often tags poor prognosis depending upon the site of the bleed vs the timely treatment measures. We present a case of a 19-year-old female presented with acute headache and photophobia. During initial assessment it was a startle approach signifying multiple small bleeds in the brain. Moreover, initial scans ruled out the possibility of subarachnoid hemorrhage and patient presenting as afebrile with no signs of meningism further executed the presence of any infections. Besides this, successfully demoting the homocysteine levels in the blood and regular monitoring of blood pressure levels the patient recovered clinically within the time span of 2 weeks with no new bleeds anywhere in the brain parenchyma and reduction in the previous hematoma size and oedema. High blood homocysteine levels of (33mcmol/L) is the possible culprit in the clinical scenario and needs further research.
Keywords: Hematoma, Blood-brain barrier, stroke, Intracerebral, Homocysteine
Citation: Mathur M, Das R, Borah NC. “Multiple Brain Hematomas Possibly Associated to High Homocysteine Levels”. SVOA Neurology 2:3 (2021) Pages 80-83.
