Advertisement

Spontaneous intracerebral haematomas: value of dynamic CT in predicting aetiology

  • N. Khandelwal
  • E. Chandra
  • S. N. Mathuriya
  • R. K. Vasishta
  • V. K. Kak
  • S. Suri
Conference paper

Abstract

Thirty patients with spontaneous intracerebral haematoma (ICH) were studied by dynamic computed tomography (CT) and cerebral angiography. The prospective predictive value of dynamic CT in demonstrating the underlying aetiology in ICH was evaluated. Dynamic CT correctly predicted 90% of aneurysms, 100% of arteriovenous malformations and 100% of normal studies, as compared to angiography. It can obviate angiography in patients where dynamic CT does not show any vascular abnormality.

key words

Dynamic computed tomography Angiography Lobar haematoma Spontaneous haematoma 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Russell DS (1954) The pathology of spontaneous intracerebral haemorrhage. Proc R Soc Med 47: 689–704.PubMedGoogle Scholar
  2. 2.
    Ojeman RG, Heros RC (1983) Spontaneous brain hemorrhage. Stroke 14: 468–475.CrossRefGoogle Scholar
  3. 3.
    Weisberg LA (1986) Thalamic hemorrhage. Clinical CT correlations. Neurology 36: 1382–1386.PubMedCrossRefGoogle Scholar
  4. 4.
    Picard L, Roland J, Lepoire J, Montant J, et al (1980) The role of angiography in the neuroradiological diagnosis of intracerebral hematomas. In: Pia HW, Langmaid C, Herski J (eds) Advances in diagnosis and therapy. Springer, Stuttgart, pp 171–176.Google Scholar
  5. 5.
    Laissy JP, Normand G, Monroc M, Duchateau C, Alibert F, Thiebot J (1991) Spontaneous intracerebral hematomas from vascular causes. Predictive value of CT compared with angiography. Neuroradiology 33: 291–295.PubMedCrossRefGoogle Scholar
  6. 6.
    Hayward RD, O’Reilly GVA (1976) Intracerebral haemorrhage. Accuracy of computerized axial scanning in predicting the underlying pathology. Lancet 1: 1–4.PubMedCrossRefGoogle Scholar
  7. 7.
    Scotti G, Ethier R, Melançon D, Terbrugge K, Tchang S (1977) Computed tomography in evaluation of intracranial aneurysms and subarachnoid hemorrhage. Radiology 123: 85–90.PubMedGoogle Scholar
  8. 8.
    Van Gijn J, Van Dongen KJ (1982) The time course of aneurysmal hemorrhage on CT. Neuroradiology 3: 153–156.Google Scholar
  9. 9.
    Ghoshhajra K, Scotti, Marasco J, Baghai-Naiini P (1979) CT detection of intracranial aneurysms in subarachnoid hemorrhage. AJR 132: 613–616.PubMedCrossRefGoogle Scholar
  10. 10.
    Liliequist B, Lindqvist M, Valdimarsson E (1977) Computed tomography and subarachnoid hemorrhage. Neuroradiology 14: 21–26.PubMedCrossRefGoogle Scholar
  11. 11.
    Gilbert JT, Jose B, Harold PA, Wendy RKS (1987) The predictive value of arteriography in nontraumatic intracerebral hemorrhage. Stroke 17: 881–883.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • N. Khandelwal
    • 1
  • E. Chandra
    • 1
  • S. N. Mathuriya
    • 2
  • R. K. Vasishta
    • 3
  • V. K. Kak
    • 2
  • S. Suri
    • 1
  1. 1.Department of RadiodiagnosisPostgraduate Institute of Medical Education and ResearchChandigarhIndia
  2. 2.Department of NeurosurgeryPostgraduate Institute of Medical Education and ResearchChandigarhIndia
  3. 3.Department of PathologyPostgraduate Institute of Medical Education and ResearchChandigarhIndia

Personalised recommendations