Chronic expanding intracerebral hematoma

E. Pozzati, G. Giuliani, G. Gaist, G. Piazza, G. Vergoni

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

The cases of 10 normotensive patients with chronic intracerebral hematomas are reported. The patients' median age at diagnosis was 42 years. The median duration of symptoms was 22 days. Seizures were the presenting symptom in 50% of the cases. Computerized tomography almost consistently demonstrated ring-shaped lesions with mass effect and perifocal edema. Arteriography revealed that all but one of the lesions were avascular. All patients had superficial white matter lesions, mostly in the frontoparietal region. All patients were treated surgically. Most of the hematomas were encapsulated and contained blood in various stages of organization. The thick capsule consisted of an outer layer of collagenous tissue and an inner layer of granulation tissue. Occult cerebrovascular malformations were detected in two instances. There were two deaths, both related to recurrent postoperative hemorrhage. This entity can present much like a brain malignancy and should be considered in the differential diagnosis of ring-shaped lesions whatever the clinical presentation. Strategies of treatment are discussed.

Original languageEnglish
Pages (from-to)611-614
Number of pages4
JournalJournal of Neurosurgery
Volume65
Issue number5
Publication statusPublished - 1986

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Hematoma
Postoperative Hemorrhage
Granulation Tissue
Capsules
Edema
Angiography
Seizures
Differential Diagnosis
Tomography
Brain
Neoplasms
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Pozzati, E., Giuliani, G., Gaist, G., Piazza, G., & Vergoni, G. (1986). Chronic expanding intracerebral hematoma. Journal of Neurosurgery, 65(5), 611-614.

Chronic expanding intracerebral hematoma. / Pozzati, E.; Giuliani, G.; Gaist, G.; Piazza, G.; Vergoni, G.

In: Journal of Neurosurgery, Vol. 65, No. 5, 1986, p. 611-614.

Research output: Contribution to journalArticle

Pozzati, E, Giuliani, G, Gaist, G, Piazza, G & Vergoni, G 1986, 'Chronic expanding intracerebral hematoma', Journal of Neurosurgery, vol. 65, no. 5, pp. 611-614.
Pozzati E, Giuliani G, Gaist G, Piazza G, Vergoni G. Chronic expanding intracerebral hematoma. Journal of Neurosurgery. 1986;65(5):611-614.
Pozzati, E. ; Giuliani, G. ; Gaist, G. ; Piazza, G. ; Vergoni, G. / Chronic expanding intracerebral hematoma. In: Journal of Neurosurgery. 1986 ; Vol. 65, No. 5. pp. 611-614.
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