Multiple spontaneous hypertensive intracerebral hemorrhages.

Hypertensive intracerebral hemorrhage is usually a 1-time event, and recurrences are rare. Most recurrences develop as part of long-term failure of blood pressure control. The simultaneous development of 2 or more spontaneous hypertensive, nontraumatic intraparenchymal cerebral hemorrhages is rare and constitutes less than 5.6% of all hypertensive cerebral hemorrhages, and only isolated cases have been recorded in the literature. We report an unusual case where there were spontaneous, simultaneous and sequential, thalamic, cerebellar, and cerebral hemorrhages in a patient with known hypertension.