1984 Volume 34 Issue 1 Pages 25-32
Extravasation of contrast media in cerebral angiography was recognized in 16 cases of hypertensive intracerebral hemorrhage. Hematoma evolution by repeated CT scans was demonstrated 3 out of 4 cases at acute stage of hemorrhage. These signs of hematoma enlargement were seen within 4 hours after the onset of apoplectic stroke. Large hematoma at the initial CT scan, and extravasation in cerebral angiography were the signs of very grave prognosis. Urgent surgical intervention may offer a chance of recovery even a large hematoma which was small or medium sized at the initial CT scan and showed leakage of contrast media in cerebral angiography.
Differential diagnosis of hypertensive intracerebral hemorrhage from traumatic intracerebral hematoma was easy in typical cases. However, both hemorrhages were sometimes difficult in complicated cases such as hypertensive hemorrhage was modified by traumatic intracranial hemorrhage, and traumatic hematoma was located in wellknown site of hypertensive intracerebral hemorrhage.
