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Research ArticleOriginal Article
Open Access

Brainstem hemorrhage is uncommon and is associated with high morbidity, mortality, and prolonged hospitalization

Renad M. AlMohammedi, Hadeel AlMutairi, Rana O. AlHoussien, Malack T. AlOtayan, Abeer K. AlMutairi, Wejdan O. Bafail, Altaf Khan and Ismail A. Khatri
Neurosciences Journal April 2020, 25 (2) 91-96; DOI: https://doi.org/10.17712/nsj.2020.2.20190102
Renad M. AlMohammedi
From the Division of Neurology (AlMohammedi, Khatri), Department of Medicine, King Abdulaziz Medical City, College of Medicine (AlMutairi H, AlHoussien, AlOtayan, AlMutairi A, Bafail, Khatri), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Khan, Khatri), Riyadh, Kingdom of Saudi Arabia.
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  • For correspondence: [email protected]
Hadeel AlMutairi
From the Division of Neurology (AlMohammedi, Khatri), Department of Medicine, King Abdulaziz Medical City, College of Medicine (AlMutairi H, AlHoussien, AlOtayan, AlMutairi A, Bafail, Khatri), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Khan, Khatri), Riyadh, Kingdom of Saudi Arabia.
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Rana O. AlHoussien
From the Division of Neurology (AlMohammedi, Khatri), Department of Medicine, King Abdulaziz Medical City, College of Medicine (AlMutairi H, AlHoussien, AlOtayan, AlMutairi A, Bafail, Khatri), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Khan, Khatri), Riyadh, Kingdom of Saudi Arabia.
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Malack T. AlOtayan
From the Division of Neurology (AlMohammedi, Khatri), Department of Medicine, King Abdulaziz Medical City, College of Medicine (AlMutairi H, AlHoussien, AlOtayan, AlMutairi A, Bafail, Khatri), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Khan, Khatri), Riyadh, Kingdom of Saudi Arabia.
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Abeer K. AlMutairi
From the Division of Neurology (AlMohammedi, Khatri), Department of Medicine, King Abdulaziz Medical City, College of Medicine (AlMutairi H, AlHoussien, AlOtayan, AlMutairi A, Bafail, Khatri), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Khan, Khatri), Riyadh, Kingdom of Saudi Arabia.
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Wejdan O. Bafail
From the Division of Neurology (AlMohammedi, Khatri), Department of Medicine, King Abdulaziz Medical City, College of Medicine (AlMutairi H, AlHoussien, AlOtayan, AlMutairi A, Bafail, Khatri), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Khan, Khatri), Riyadh, Kingdom of Saudi Arabia.
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Altaf Khan
From the Division of Neurology (AlMohammedi, Khatri), Department of Medicine, King Abdulaziz Medical City, College of Medicine (AlMutairi H, AlHoussien, AlOtayan, AlMutairi A, Bafail, Khatri), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Khan, Khatri), Riyadh, Kingdom of Saudi Arabia.
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Ismail A. Khatri
From the Division of Neurology (AlMohammedi, Khatri), Department of Medicine, King Abdulaziz Medical City, College of Medicine (AlMutairi H, AlHoussien, AlOtayan, AlMutairi A, Bafail, Khatri), King Saud bin Abdulaziz University for Health Sciences, and from King Abdullah International Medical Research Center (Khan, Khatri), Riyadh, Kingdom of Saudi Arabia.
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    Table 1

    Frequency of presenting symptoms among patients with hemorrhagic stroke. N=10

    Symptomsn (%)
    Unilateral weakness6 (60)
    Unilateral numbness2 (20)
    Loss of speech3 (30)
    Loss of consciousness5 (50)
    Altered level of consciousness2 (20)
    Sudden vertigo1 (10)
    Sudden balance problems1 (10)
    Sudden severe headache7 (70)
    Seizure/fit2 (20)
    Vomiting2 (20)
    • View popup
    Table 2

    Frequency of stroke related complications. N=10

    Complicationsn (%)
    Seizures2 (20)
    Pneumonia2 (20)
    Urinary tract infections4 (40)
    Sepsis2 (20)
    Bedsores1 (10)
    Gastrostomy tube placement2 (20)
    Tracheostomy tube placement3 (30)
    Limb contractures1 (10)
    Death2 (20)
    • View popup
    Table 3

    Comparative analysis according to the age, duration of symptoms, and Glasgow Coma Scale.

    OutcomesAgeDuration of symptomsGlasgow Coma Scale
    Discharge disposition< 60 years>60 yearsP-value<6 hours>6 hoursP-value<88-1213-15P-value
    To home20%80%0.0650%50%0.1520%75%100%0.31
    To inpatient rehabilitation20%0025%025%0
    To long term facility/nursing home020%16.7%020%00
    Admitted at 3 months20%0025%20%00
    Dead40%033.3%040%00
    Modified Rankin scale at discharge
    0–220%40%0.1916.7%50%0.23075%00.05
    3–540%60%50%50%60%25%100%
    6 (death)40%033.3%040%00
    Modified Rankin scale at 3 months
    0–2020%0.13025%0.16025%00.03
    3–520%60%50%25%60%0100%
    6 (death)40%033.3%040%00
    No follow up40%20%16.7%50%075%0
    P-value of < 0.05 was considered significant
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Neurosciences Journal: 25 (2)
Neurosciences Journal
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Brainstem hemorrhage is uncommon and is associated with high morbidity, mortality, and prolonged hospitalization
Renad M. AlMohammedi, Hadeel AlMutairi, Rana O. AlHoussien, Malack T. AlOtayan, Abeer K. AlMutairi, Wejdan O. Bafail, Altaf Khan, Ismail A. Khatri
Neurosciences Journal Apr 2020, 25 (2) 91-96; DOI: 10.17712/nsj.2020.2.20190102

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Brainstem hemorrhage is uncommon and is associated with high morbidity, mortality, and prolonged hospitalization
Renad M. AlMohammedi, Hadeel AlMutairi, Rana O. AlHoussien, Malack T. AlOtayan, Abeer K. AlMutairi, Wejdan O. Bafail, Altaf Khan, Ismail A. Khatri
Neurosciences Journal Apr 2020, 25 (2) 91-96; DOI: 10.17712/nsj.2020.2.20190102
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© 2025 Neurosciences Journal Neurosciences is copyright under the Berne Convention and the International Copyright Convention. All rights reserved. Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3183. Print ISSN 1319-6138.

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