Journal of Cerebrovascular and Endovascular Neurosurgery

  • 제13권2호
  • /
  • Pages.80-83
  • /
  • 2011
  • /
  • 2234-8565(pISSN)
  • /
  • 2287-3139(eISSN)
대한뇌혈관외과학회 (Korean Society of Cerebravascular Surgeons)
권호 표지

The Fluid-Blood Level in a Spontaneous Intracerebral Hematoma

  • Jung, Young-Jin (Department of Neurosurgery, Yeungnam University Medical Center and Medical School) ;
  • Kim, Min-Soo (Department of Neurosurgery, Yeungnam University Medical Center and Medical School) ;
  • Chang, Chul-Hoon (Department of Neurosurgery, Yeungnam University Medical Center and Medical School) ;
  • Choi, Byung-Yon (Department of Neurosurgery, Yeungnam University Medical Center and Medical School)
  • 발행 : 2011.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

A fluid-blood level is rarely seen on computed tomography (CT) studies of intracerebral hematomas (ICHs). The CT appearance of a fluid-blood level in an ICH has been associated with intratumoral bleeding, subdural hematomas, anti-coagulation and ruptured arteriovenous malformations. When fluid-blood levels are located around a hematoma with significant peri-hematoma edema, the fluid-blood level may merely indicate bleeding of recent origin. A fluid-blood could also represent a coagulopathy when the fluid-blood level is located in the center of a hematoma with less peri-hematoma edema. We report four cases of acute intracerebral hematomas in which fluid levels were noted on CT scans with a review of previous reports.

키워드

참고문헌

  1. Dublin AB, Norman D. Fluid-fluid level in cystic cerebral metastatic melanoma. J Comput Assist Tomogr 3:650-2, 1979 https://doi.org/10.1097/00004728-197910000-00014
  2. Gebel JM, Brott TG, Sila CA, Tomsick TA, Jauch E, Salisbury S et al. Decreased perihematomal edema in thrombolysis-related intracerebral hemorrhage compared with spontaneous intracerebral hemorrhage. Stroke 31:596-600, 2000 https://doi.org/10.1161/01.STR.31.3.596
  3. Iplikcioglu AC, Bayar MA, Kokes F, Yildiz B, Gokcek C, Buharali Z. A fluid level in an acute extradural haematoma. Neuroradiology 36:31-2, 1994 https://doi.org/10.1007/BF00599190
  4. Livoni JP, McGahan JP. Intracranial fluid-blood levels in the anticoagulated patient. Neuroradiology 25:335-7, 1983 https://doi.org/10.1007/BF00439214
  5. Pfleger MJ, Hardee EP, Contant CFJ, Hayman LA. Sensitivity and specificity of fluid-blood levels for coagulopathy in acute intracerebral hematomas. AJNR Am J Neuroradiol 15:217-23, 1994
  6. Richmond T, Virapongse C, Sarwar M. Intraparenchymal bloodfluid levels: new CT sign of arteriovenous malformation rupture. AJNR Am J Neuroradiol 2:577-9, 1981
  7. Weisberg LA. The fluid-blood level in intracranial haematoma due to anticoagulant medication. J Neurol Neurosurg Psychiatry 50:1076, 1987
  8. Woo D, Broderick JP. Spontaneous intracerebral hemorrhage: epidemiology and clinical presentation. Neurosurg Clin N Am 13:265-79, 2002 https://doi.org/10.1016/S1042-3680(02)00011-6
  9. Zilkha A. Intraparenchymal fluid-blood level : a CT sign of recent intracerebral hemorrhage. J Comput Assist Tomogr 7:301-5, 1983
  10. Zimmerman RA, Bilaniuk LT. Computed tomography of acute intratumoral hemorrhage. Radiology 135:355-9, 1980 https://doi.org/10.1148/radiology.135.2.7367626