, Volume 23, Issue 3, pp 153–156 | Cite as

The time course of aneurysmal haemorrhage on computed tomograms

  • J. van Gijn
  • K. J. van Dongen


We performed serial CT scans in a prospective series of 100 patients with a ruptured aneurysm who were first scanned within 2 days of the haemorrhage. In all patients the early CT scan showed evidence of extravasated blood. In 96 patients the source of bleeding was clearly at the base of the brain, and 32 of these had a haematoma. We estimated from the results of 139 repeat scans that the probability of recognizing an aneurysmal haemorrhage on CT is 85% after 5 days, 50% after 1 week, 30% after 2 weeks (mostly patients with haematomas), and almost nil after 3 weeks.

Key words

Intracranial aneurysm Subarachnoid haemorrhage CT scanning 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Scotti G, Ethier R, Melançon D, Terbrugge K, Tchang S (1980) Computed tomography in the evaluation of intracranial aneurysms and subarachnoid hemorrhage. Radiology 123: 85–90Google Scholar
  2. 2.
    Van Gijn J, van Dongen KJ (1980) Computed tomography in the diagnosis of subarachnoid haemorrhage and ruptured aneurysm. Clin Neurol Neurosurg 82:11–24Google Scholar
  3. 3.
    Liliequist B, Lindqvist M, Valdimarsson E (1977) Computed tomography and subarachnoid hemorrhage. Neuroradiology 14:21–26Google Scholar
  4. 4.
    Modesti LM, Binet EF (1978) Value of computed tomography in the diagnosis and management of subarachnoid haemorrhage. Neurosurgery 3:151–156Google Scholar
  5. 5.
    Davis JM, Davis KR, Crowell RM (1980) Subarachnoid hemorrhage secondary to ruptured intracranial aneurysm: prognostic significance of cranial CT. AJR 134:711–715Google Scholar
  6. 6.
    Kendall BE, Lee BCP, Claveria E (1976) Computerized tomography and angiography in subarachnoid haemorrhage. Br J Radiol 49:483–501Google Scholar
  7. 7.
    Moran CJ, Naidich TP, Gado MH, Holloman WG, Shalen PR (1978) Leptomeningeal findings in CT of subarachnoid hemorrhage. J Comput Assist Tomogr 2:520Google Scholar
  8. 8.
    Weisberg LA (1979) Computed tomography in aneurysmal subarachnoid hemorrhage. Neurology 29:802–808Google Scholar
  9. 9.
    Brismar J (1979) Computer tomography as the primary radiologic procedure in acute subarachnoid haemorrhage. Acta Radiol 20:849–864Google Scholar
  10. 10.
    Bryan RN, Shah CP, Hilal S (1979) Evaluation of subarachnoid hemorrhage and cerebral vasopasm by computed tomography. J Comput Tomogr 3:144–153Google Scholar
  11. 11.
    Bell BA, Kendall BE, Symon L (1980) Computed tomography in aneurysmal subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry 43:522–524Google Scholar
  12. 12.
    Liliequist B, Lindqvist M (1980) Computer tomography in the evaluation of subarachnoid haemorrhage. Acta Radiol Diagn 21:327–331Google Scholar
  13. 13.
    Yamamoto M, Jimbo M, Kitamura K, Kobayashi N, Saito Y (1980) Computed tomography in the diagnosis of hemorrhage secondary to intracranial aneurysm. Neurol Surg 8:623–631Google Scholar
  14. 14.
    Inoue Y, Saiwai S, Miyamoto T, Ban S, Yamamoto T, Takemoto K, Taniguchi S, Sato S, Namba K, Ogata M (1981) Postcontrast computed tomography in subarachnoid hemorrhage from ruptured aneurysms. J Comput Assist Tomogr 5: 341–344Google Scholar
  15. 15.
    Silver AJ, Pederson ME, Ganti SR, Hilal SK, Michelson WJ (1981) CT of subarachnoid hemorrhage due to ruptured aneurysm. AJNR 2:13–22Google Scholar
  16. 16.
    Isu T, Uemura K, Goto K, Ishi K (1978) Computed tomographic findings in intracranial hemorrhage due to ruptured intracranial aneurysm. Rinsho Hohasen 23:701–709Google Scholar
  17. 17.
    Weir B, Miller J, Russell D (1977) Intracranial aneurysms: a clinical, angiographic and computerized tomographic study. Can J Neurol Sci 4:99–105Google Scholar
  18. 18.
    Vermeulen M, Muizelaar JP (1980) Do antifibronolytic agents prevent rebleeding after rupture of a cerebral aneurysm? A review. Clin Neurol Neurosurg 82:25–30Google Scholar
  19. 19.
    Naidich TP, Leeds NE, Kricheff II, Pudlowski RM, Naidich JB, Zimmerman RD (1977) The tentorium in axial section. I. Normal CT appearance and non-neoplastic pathology. Radiology 123:631–638Google Scholar
  20. 20.
    Gillingham FJ (1967) The management of ruptured intracranial aneurysms. Scott Med J 12:377–383Google Scholar
  21. 21.
    Dolinskas CA, Bilaniuk LT, Zimmerman RA, Kuhl DE (1977) Computed tomography of intracerebral hematomas. I. Transmission CT observations on hematoma resolution. AJR 129: 681–688Google Scholar

Copyright information

© Springer-Verlag 1982

Authors and Affiliations

  • J. van Gijn
    • 1
    • 2
  • K. J. van Dongen
    • 1
    • 2
  1. 1.Department of NeurologyUniversity Hospital Rotterdam (Dijkzigt)The Netherlands
  2. 2.Department of RadiologyUniversity Hospital Rotterdam (Dijkzigt)The Netherlands

Personalised recommendations