Chronic encapsulated intracerebral haematomas

We present four patients with uncommon encapsulated intracerebral haematomas (ICH). Because of ring enhancement, three were incorrectly diagnosed as gliomas and operated upon. In one case the diagnosis of chronic ICH was made on MRI. MRI can be used to demonstrate that a lesion is only a haematoma a...

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Bibliographic Details
Published inNeuroradiology Vol. 38; no. 6; p. 551
Main Authors Ilkko, E, Pyhtinen, J, Reponen, J
Format Journal Article
LanguageEnglish
Published Germany 01.08.1996
Subjects
Adult
Aged
Brain - pathology
Brain - surgery
Calcinosis - diagnosis
Calcinosis - pathology
Calcinosis - surgery
Cerebral Hemorrhage - diagnosis
Cerebral Hemorrhage - pathology
Cerebral Hemorrhage - surgery
Chronic Disease
Diagnosis, Differential
Female
Follow-Up Studies
Hematoma - diagnosis
Hematoma - pathology
Hematoma - surgery
Humans
Magnetic Resonance Imaging
Male
Neurologic Examination
Postoperative Complications - diagnosis
Postoperative Complications - pathology
Tomography, X-Ray Computed
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Summary:We present four patients with uncommon encapsulated intracerebral haematomas (ICH). Because of ring enhancement, three were incorrectly diagnosed as gliomas and operated upon. In one case the diagnosis of chronic ICH was made on MRI. MRI can be used to demonstrate that a lesion is only a haematoma and is valuable in follow-up and in differentiating these haematomas from neoplasms. Angiography may reveal a vascular malformation which may be the reason for repeated bleeding, which may lead to encapsulation. The mechanism, however, remains unclear in most cases.
ISSN:0028-3940
DOI:10.1007/bf00626096