Early spontaneous hematoma in cerebral infarct: is primary cerebral hemorrhage overdiagnosed?

Détails

ID Serval
serval:BIB_FA593B26F594
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Early spontaneous hematoma in cerebral infarct: is primary cerebral hemorrhage overdiagnosed?
Périodique
Neurology
Auteur(s)
Bogousslavsky  J., Regli  F., Uske  A., Maeder  P.
ISSN
0028-3878
Statut éditorial
Publié
Date de publication
06/1991
Peer-reviewed
Oui
Volume
41
Numéro
6
Pages
837-40
Notes
Bogousslavsky, J
Regli, F
Uske, A
Maeder, P
United states
Neurology
Neurology. 1991 Jun;41(6):837-40. --- Old month value: Jun
Résumé
We identified 15 patients (63 +/- 8 years) in whom CT showed no bleeding within 6 hours of stroke onset but showed ganglionic or lobar hemorrhage less than 18 hours later, without visible underlying infarct (early spontaneous intra-infarct hematoma [ESIH]). No patient had antithrombotic therapy or a coagulation disorder, but eight had hypertension. The second CT was prompted by rapid worsening (in 10) or because the first CT was not available (in five). Prior transient ischemic attacks, silent infarcts on CT, and a potential cardiac source of embolism were more common in patients with ESIH than in 200 patients with primary cerebral hemorrhage (PCH) admitted during the same period. Distal occlusions were present in four of five patients who underwent intracranial studies within the first 2 days. Most of these patients probably had embolism with early and extensive bleeding in the ischemic area. Our findings suggest that ESIH may be under-recognized, while PCH may be overdiagnosed.
Mots-clé
Aged Brain Diseases/*diagnosis/etiology/radiography Cerebral Hemorrhage/*diagnosis/etiology/radiography Cerebral Infarction/*etiology/radiography Cerebrovascular Disorders/*complications Diagnosis, Differential Female Hematoma/*diagnosis/etiology/radiography Humans Male Middle Aged Time Factors Tomography, X-Ray Computed
Pubmed
Web of science
Création de la notice
10/04/2008 17:52
Dernière modification de la notice
03/03/2018 22:55
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