Korean J Cerebrovasc Surg.
2011 Jun;13(2):80-83.
The Fluid-Blood Level in a Spontaneous Intracerebral Hematoma
- Affiliations
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- 1Department of Neurosurgery, Yeungnam University Medical Center and Medical School, 5 Daemyeung-dong, Nam-gu 317-1, Daegu, South Korea. cch0102@ynu.ac.kr
Abstract
- A fluid-blood level is rarely seen on computed tomography (CT) studies of intracerebral hematomas (ICHs). The CT appearance of a fluid-blood level in an ICH has been associated with intratumoral bleeding, subdural hematomas, anti-coagulation and ruptured arteriovenous malformations. When fluid-blood levels are located around a hematoma with significant peri-hematoma edema, the fluid-blood level may merely indicate bleeding of recent origin. A fluid-blood could also represent a coagulopathy when the fluid-blood level is located in the center of a hematoma with less peri-hematoma edema. We report four cases of acute intracerebral hematomas in which fluid levels were noted on CT scans with a review of previous reports.