Chronic expanding intracerebral hematoma

Journal of Neurosurgery
E PozzatiG Vergoni

Abstract

The cases of 10 normotensive patients with chronic intracerebral hematomas are reported. The patients' median age at diagnosis was 42 years. The median duration of symptoms was 22 days. Seizures were the presenting symptom in 50% of the cases. Computerized tomography almost consistently demonstrated ring-shaped lesions with mass effect and perifocal edema. Arteriography revealed that all but one of the lesions were avascular. All patients had superficial white matter lesions, mostly in the frontoparietal region. All patients were treated surgically. Most of the hematomas were encapsulated and contained blood in various stages of organization. The thick capsule consisted of an outer layer of collagenous tissue and an inner layer of granulation tissue. Occult cerebrovascular malformations were detected in two instances. There were two deaths, both related to recurrent postoperative hemorrhage. This entity can present much like a brain malignancy and should be considered in the differential diagnosis of ring-shaped lesions whatever the clinical presentation. Strategies of treatment are discussed.

References

Oct 1, 1977·AJR. American Journal of Roentgenology·C A DolinskasD E Kuhl
May 1, 1978·AJR. American Journal of Roentgenology·D W LasterM R Ball
Mar 1, 1978·Neurosurgery·D Yashon, E J Kosnik
Mar 1, 1977·Radiology·R D ZimmermanT P Naidich
Jul 1, 1973·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·N E Leeds, H I Goldberg
Nov 28, 1980·JAMA : the Journal of the American Medical Association·J D ReidM C Park
May 1, 1984·Surgical Neurology·S Z LinS H Tsai
May 1, 1984·Neurosurgery·N Aoki, K Mizuguchi
Aug 1, 1983·Journal of Neurosurgery·T YamashimaR L Friede
Aug 1, 1981·Neurosurgery·L F HirshB M Bogdanoff

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Citations

Jan 1, 1992·Acta neurochirurgica·K SaitoK Sugita
Jun 4, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ertugrul CakirBekircan Peksoylu
Mar 11, 2005·Acta Neuropathologica·Masamitsu AbeTeruaki Kawano
Jan 25, 2013·Neurosurgical Review·Takashi SugawaraKikuo Ohno
Nov 1, 2003·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Liu YuguangWu Chengyuan
Mar 4, 2000·Surgical Neurology·E Pozzati
Sep 25, 2008·Neurologia Medico-chirurgica·Hiroaki MotegiYoshinobu Iwasaki
Jan 29, 2011·Neurologia Medico-chirurgica·Kosuke MiyaharaTakeki Shiina
May 1, 1993·Journal of Neurosurgery·J M RodaC Morales
Jul 2, 1999·Journal of Neurosurgery·N HirotaK Matsumoto
Jan 1, 1989·British Journal of Neurosurgery·J M Lainez AndresB C Mariño
Jun 5, 2015·Rinshō shinkeigaku = Clinical neurology·Ryuhei KonoMasaru Kuriyama
Nov 10, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Chih-Yun LinSheng-Hong Tseng
Jan 1, 1990·Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society·L A WeisbergD Elliott
Mar 7, 2014·Journal of Neurology·Shiyu ChenZhiping Hu
Jul 16, 2014·Surgical Neurology International·Akira NishiyamaMasaaki Uno
Apr 23, 2013·Surgical Neurology International·Masato HojoSusumu Miyamoto
Oct 18, 2018·Acta neurochirurgica·Kira SeigerScott G Soltys
Nov 1, 1989·Journal of Neurology, Neurosurgery, and Psychiatry·E FiumaraC Corona
Jan 18, 2006·International Journal of Urology : Official Journal of the Japanese Urological Association·Toshinari YamasakiTakayuki Hashimura
May 5, 2018·Journal of Neurosurgery. Pediatrics·Jeremy WetzelDavid Wrubel
Aug 1, 1996·Neuroradiology·E IlkkoJ Reponen
Jun 29, 2021·Curēus·Elise J YoonRobert W Mccabe

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Methods Mentioned

BETA
electron microscopy

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