Differentiating between Hemorrhagic Infarct and Parenchymal Intracerebral Hemorrhage

被引:8
作者
Choi, P. M. C. [1 ]
Ly, J. V. [1 ]
Srikanth, V. [1 ]
Ma, H. [1 ]
Chong, W. [2 ]
Holt, M. [2 ]
Phan, T. G. [1 ]
机构
[1] Monash Univ, Monash Med Ctr, Southern Clin Sch, Stroke & Ageing Res Grp,Neurosci Program, Level 5,Block E,246 Clayton Rd, Melbourne, Vic 3168, Australia
[2] Southern Hlth, Monash Med Ctr, Dept Diagnost Radiol, Melbourne, Vic 3168, Australia
关键词
D O I
10.1155/2012/475497
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Differentiating hemorrhagic infarct from parenchymal intracerebral hemorrhage can be difficult. The immediate and long-term management of the two conditions are different and hence the importance of accurate diagnosis. Using a series of intracerebral hemorrhage cases presented to our stroke unit, we aim to highlight the clues that may be helpful in distinguishing the two entities. The main clue to the presence of hemorrhagic infarct on computed tomography scan is the topographic distribution of the stroke. Additional imaging modalities such as computed tomography angiogram, perfusion, and magnetic resonance imaging may provide additional information in differentiating hemorrhagic infarct from primary hemorrhages.
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页数:11
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共 18 条
[1]   Recurrent brain hemorrhage is more frequent than ischemic stroke after intracranial hemorrhage [J].
Bailey, RD ;
Hart, RG ;
Benavente, O ;
Pearce, LA .
NEUROLOGY, 2001, 56 (06) :773-777
[2]   EARLY SPONTANEOUS HEMATOMA IN CEREBRAL INFARCT - IS PRIMARY CEREBRAL-HEMORRHAGE OVERDIAGNOSED [J].
BOGOUSSLAVSKY, J ;
REGLI, F ;
USKE, A ;
MAEDER, P .
NEUROLOGY, 1991, 41 (06) :837-840
[3]   Striatocapsular haemorrhage [J].
Chung, CS ;
Caplan, LR ;
Yamamoto, Y ;
Chang, HM ;
Lee, SJ ;
Song, HJ ;
Lee, HS ;
Shin, HK ;
Yoo, KM .
BRAIN, 2000, 123 :1850-1862
[4]   Ischaemic damage of brain microvessels: inherent risks for thrombolytic treatment in stroke [J].
del Zoppo, GJ ;
Von Kummer, R ;
Hamann, GF .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1998, 65 (01) :1-9
[5]   Serum glucose level and diabetes predict tissue plasminogen activator-related intracerebral hemorrhage in acute ischemic stroke [J].
Demchuk, AM ;
Morgenstern, LB ;
Krieger, DW ;
Chi, TL ;
Hu, W ;
Wein, TH ;
Hardy, RJ ;
Grotta, JC ;
Buchan, AM .
STROKE, 1999, 30 (01) :34-39
[6]   Baseline blood pressure but not early computed tomography changes predicts major hemorrhage after streptokinase in acute ischemic stroke [J].
Gilligan, AK ;
Markus, R ;
Read, S ;
Srikanth, V ;
Hirano, T ;
Fitt, G ;
Arends, M ;
Chambers, BR ;
Davis, SM ;
Donnan, GA .
STROKE, 2002, 33 (09) :2236-2242
[7]   MICROVASCULAR BASAL LAMINA ANTIGENS DISAPPEAR DURING CEREBRAL-ISCHEMIA AND REPERFUSION [J].
HAMANN, GF ;
OKADA, Y ;
FITRIDGE, R ;
DELZOPPO, GJ .
STROKE, 1995, 26 (11) :2120-2126
[8]   HEMORRHAGIC INFARCTS [J].
HART, RG ;
EASTON, JD .
STROKE, 1986, 17 (04) :586-589
[9]   Mechanisms of intracerebral hemorrhage after carotid endarterectomy [J].
Henderson, RD ;
Phan, TG ;
Piepgras, DG ;
Wijdicks, EFM .
JOURNAL OF NEUROSURGERY, 2001, 95 (06) :964-969
[10]   Cerebral microbleeds on MRI - Prevalence, associations, and potential clinical implications [J].
Koennecke, HC .
NEUROLOGY, 2006, 66 (02) :165-171