Abstract
Acute intracranial hemorrhage is one of the most important disorders in the field of acute medicine. The main causes of acute intracranial hemorrhage are head injury and cerebrovascular disease. The clinico-pathological state is, of course, different between these two disorders, but their clinical signs and symptoms, and diagnostic imaging are sometimes quite similar. Therefore, it can be difficult to make an accurate diagnosis in the acute stage. However, in such cases, appropriate treatment is required as soon as possible for good prognosis. In this paper, the authors present 9 cases of acute intracranial hemorrhage in which it was difficult to judge whether the hemorrhage originated from head injury or cerebrovascular disease, and discuss the problems in diagnosing and treating these cases. The authors also stress the medico-legal problems of these cases.