, Volume 36, Issue 7, pp 504–508 | Cite as

Significance of haemorrhagic lacunes on MRI in patients with hypertensive cerebrovascular disease and intracerebral haemorrhage

  • J. Scharf
  • E. Bräuherr
  • M. Forsting
  • K. Sartor
Diagnostic Neuroradiology


Our purpose was to determine the frequency and signifcance of haemorrhagic lacunes (HL) on MRI in patients with a history of, or at risk for intracerebral haemorrhage. We examined 72 patients with old spontaneous intracerebral haemorrhage (ICH) using T1-and T2-weighted spin-echo sequences. MRI studies of 137 consecutive patients with cerebrovascular disease but no known ICH were also reviewed. Both groups showed about the same degree of age-related white matter change and nonhaemorrhagic lacunar infarcts, whereas the ICH group had a higher frequency of HL (12/72 patients) than the non-ICH group (6/131 patients,p<0.01). These results correlate well with reported pathological findings. We conclude that haemorrhagic lacunes found on MRI studies of patients with cerebrovascular disease may suggest a higher risk of intracerebral haemorrhage.

Key words

MRI Intracerebral haemorrhage Hypertensive cerebrovascular disease 


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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • J. Scharf
    • 1
  • E. Bräuherr
    • 1
  • M. Forsting
    • 1
  • K. Sartor
    • 1
  1. 1.Department of NeuroradiologyUniversity of Heidelberg Medical SchoolHeidelbergGermany

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