Neuroradiology

, Volume 34, Issue 5, pp 381–383 | Cite as

Intraparenchymal blood-fluid levels in traumatic intracerebral haematomas

  • Y. Katayama
  • T. Tsubokawa
  • K. Kinoshita
  • K. Himi
Diagnostic Neuroradiology

Summary

Blood-fluid levels within the cerebral parenchyma are observed more frequently on CT and MRI in traumatic intracerebral haematomas than in those of other aetiologies. The intraparenchymal blood-fluid interface can be formed without a fluid cavity. It is suggested that the blood-fluid levels represent layering of red blood cells within areas of contusion necrosis as well as extensive contusion oedema. The more extensive the damage to brain tissue, the more often blood-fluid levels formed. A poorer outcome can be therefore predicted when an intraparenchymal blood-fluid interface is seen.

Key words

Computed tomography Magnetic resonance imaging Haemorrhage Traumatic intracerebral haematoma Contusion Oedema 

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References

  1. 1.
    Katayama Y, Tsubokawa T, Miyazaki S, Kawamata T, Yoshino A (1990) Oedema fluid formation within contused brain tissue as a cause of medically uncontrollable elevation of intracranial pressure in head trauma patients. Acta Neurochir [Suppl] (Wien) 51: 308–310Google Scholar
  2. 2.
    Livioni JP, McGahan JP (1983) Intracranial fluid-blood levels in the anticoagulated patient. Neuroradiology 25: 335–337Google Scholar
  3. 3.
    Teasdale G, Murray G, Parker L, Jennett B (1979) Adding up the Glasgow Coma Score. Acta Neurochir [Suppl] (Wien) 28: 13–16Google Scholar
  4. 4.
    Giannotta SL, Weiner JM, Karnaze D (1987) Prognosis and outcome in severe head injury. In: Cooper PR (ed.) Head injury, 2nd edn. Williams and Wilkins, Baltimore, pp 464–487Google Scholar
  5. 5.
    Teasdale G, Jennett B (1976) Assessment and prognosis of coma after head injury. Acta Neurochir (Wien) 34: 45–55Google Scholar
  6. 6.
    Isono M, Shindo K, Ito M, Hori S, Suzuki J (1989) CT findings of hypertensive intracerebral hematomas: considerations of the formation of hematomas (in Japanese). CT Kenkyu 11: 557–562Google Scholar
  7. 7.
    Kazner E, Lanksch W, Grumme T, Kretzschmar K (1980) Diagnosis and differential diagnosis of spontaneous ICH with CT scan. In: Pia HW, Langmaid C, Zierski J (eds) Spontaneous intracerebral hematomas: advances in diagnosis and therapy, Springer, Berlin Heidelberg New York, pp 178–190Google Scholar
  8. 8.
    Kamimura K, Goto K, Ishii K, Isu T, Okudera T (1978) CT diagnosis (in Japanese). Shinkei Kenkyu No Shinpo 22: 200–218Google Scholar
  9. 9.
    Scott WR, New PFJ, Davis KR, Schnur JA (1974) Computerized axial tomography of intracerebral and intraventricular hemorrhage. Radiology 112: 73–80Google Scholar
  10. 10.
    Katada K (1985) CT diagnosis of intracerebral hemorrhage (in Japanese). Gazoshindan 5: 527–530Google Scholar
  11. 11.
    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
  12. 12.
    Lindenberg R, Freytag E (1957) Morphology of cortical contusions. AMA Arch Pathol 63: 23–42Google Scholar
  13. 13.
    Katayama Y, Tsubokawa T, Miyazaki S (1989) Two types of delayed traumatic intracerebral hematomas: differential forms of treatment. Neurosurg Rev 12 [Suppl 1]: 231–236Google Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • Y. Katayama
    • 1
  • T. Tsubokawa
    • 1
  • K. Kinoshita
    • 1
  • K. Himi
    • 1
  1. 1.Departments of Neurological Surgery and RadiologyNihon University School of MedicineTokyoJapan

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