J Korean Radiol Soc.  1983 Sep;19(3):484-491. 10.3348/jkrs.1983.19.3.484.

Computed tomography of intracerebral hemorrhage

• Kim SH
• Lee JB
• Lee YC
• Lee KS
• Park SS

• KMID: 2463147
• DOI: http://doi.org/10.3348/jkrs.1983.19.3.484

Abstract

CT is the most accurate and reliable method for the diagnosis of intracerebral and intraventricularhemorrhage. The precise anatomic extent of the hematoma, associated cerebral edema, ventricular deformity anddisplacement, and hydrocephalus are all readily assessed. Aside from head trauma, the principal cause ofintracerbral hematoma is hypertensive vascular disease. Although hematomas from various causes may present similarCT appearances frequetnly the correct etiology may be suggested by considereation of patient's age, clinicalhistory, and the location of the hematoma. The analytical study was performed in 180 cases of intracerebralhamorrhages by CT from Oct. 1981 to Jan. 1983. The results were as follows; 1. The most prevalent age group was6th decade(37.2%) Male was prevalent to female at the ration of 1.6 to 1. 2. The most common symptom and sign wasmental distrubance (48.7%), motor weakness(23%), headache(10.6%), nausea and vomiting (9.8%). 3. The causes ofhemorrhage were hypertension (53.9%), head trauma (30.6%), aneurysm(6.1%) and A-V malformation (7.2%). 4. Thefrequent locations of hemorrhage were basal ganglia and thalamus(40.4%), lobes(35%), ventricles(21.8%). 5. Thedistribution of hemorrhage was intracerebral hemorrhage(65.6%), intracerebral and intraventricularhemorrhage(30.3%), intraventricular hemorrhage(4.4%).

MeSH Terms

Basal Ganglia
Brain Edema
Cerebral Hemorrhage*
Congenital Abnormalities
Craniocerebral Trauma
Diagnosis
Female
Hematoma
Hemorrhage
Humans
Hydrocephalus
Hypertension
Male
Methods
Nausea
Vascular Diseases
Vomiting