Acta Neurochirurgica

, Volume 132, Issue 1, pp 48–52

Surgical experience with massive lobar haemorrhage caused by cerebral amyloid angiopathy

Authors

  • T. Minakawa
    • Departments of Neurosurgery, Brain Research InstituteNiigata University
  • Sh. Takeuchi
    • Departments of Neurosurgery, Brain Research InstituteNiigata University
  • O. Sasaki
    • Departments of NeurosurgeryKuwana Hospital
  • T. Koizumi
    • Departments of Neurosurgery, Brain Research InstituteNiigata University
  • Y. Honad
    • Departments of Neurosurgery, Brain Research InstituteNiigata University
  • Y. Fujii
    • Departments of Neurosurgery, Brain Research InstituteNiigata University
  • T. Ozawa
    • Departments of Neurosurgery, Brain Research InstituteNiigata University
  • H. Ogawa
    • Departments of NeuropathologyKuwana Hospital
  • T. Koike
    • Departments of Neurosurgery, Brain Research InstituteNiigata University
  • R. Tanaka
    • Departments of Neurosurgery, Brain Research InstituteNiigata University
Clinical Articles

DOI: 10.1007/BF01404847

Cite this article as:
Minakawa, T., Takeuchi, S., Sasaki, O. et al. Acta neurochir (1995) 132: 48. doi:10.1007/BF01404847

Summary

Nineteen patients with massive lobar haemorrhage without angiographic lesions received direct or stereotactic surgery, and biopsy specimens were examined histologically. Ten patients (53%) were found to have vessels positive for Congo-red staining, and demonstrating amyloid angiopathy. In the patients with amyloid angiopathy, CT scan and surgical findings were investigated. Subarachnoid haemorrhage (9/10), irregularly shaped haematoma (9/10) and fluid-blood density level in the haematoma cavity (7/10) were frequently found on CT scan. The characteristic surgical findings in patients treated by direct surgery were subarachnoid haemorrhage adjacent to intracerebral haematoma (8/8) and the existence of a tangle of vessels in the haematoma cavity (4/8). Evacuation of haematomas was relatively easy, and difficulty of haemostasis was not encountered during surgery.

Keywords

Intracerebral haemorrhagespontaneous cerebral haemorrhageamyloid angiopathysurgery

Copyright information

© Springer-Verlag 1995