Acta Neurochirurgica

, Volume 132, Issue 1–3, pp 48–52

Surgical experience with massive lobar haemorrhage caused by cerebral amyloid angiopathy

  • T. Minakawa
  • Sh. Takeuchi
  • O. Sasaki
  • T. Koizumi
  • Y. Honad
  • Y. Fujii
  • T. Ozawa
  • H. Ogawa
  • T. Koike
  • R. Tanaka
Clinical Articles

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 haemorrhage spontaneous cerebral haemorrhage amyloid angiopathy surgery 

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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • T. Minakawa
    • 1
  • Sh. Takeuchi
    • 1
  • O. Sasaki
    • 2
  • T. Koizumi
    • 1
  • Y. Honad
    • 1
  • Y. Fujii
    • 1
  • T. Ozawa
    • 1
  • H. Ogawa
    • 3
  • T. Koike
    • 1
  • R. Tanaka
    • 1
  1. 1.Departments of Neurosurgery, Brain Research InstituteNiigata UniversityJapan
  2. 2.Departments of NeurosurgeryKuwana HospitalNiigataJapan
  3. 3.Departments of NeuropathologyKuwana HospitalNiigataJapan

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