Abstract
CT guided stereotactic evacuation is recently favored in selected cases of intracerebral hematoma, because of the less invasive nature. However risk of recurrent bleeding remains unresolved with this procedure. We report two cases of angiographically occult AVM, which presented the typical appearance of hypertensive hematoma. They were treated by stereotaxy but craniotomy was emergently needed because of rebleeding. Histological examination revealed partially thrombosed AVMs in both cases. In our consecutive series of 76 stereotactic hematoma evacuations, we found 3 cases of rebleeding. We stress that careful observation should be done after stereotactic evacuation of a hematoma.
