ISSN:
0942-0940
Keywords:
Intracerebral haemorrhage
;
spontaneous cerebral haemorrhage
;
amyloid angiopathy
;
surgery
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary Nineteen patients with massive lobar haemorrhage without angiographic lesions received direct or stereotactic surgery, and biopsy specimens were examined histologically. Ten patients (53%) were found to have vessels positive for Congo-red staining, and demonstrating amyloid angiopathy. In the patients with amyloid angiopathy, CT scan and surgical findings were investigated. Subarachnoid haemorrhage (9/10), irregularly shaped haematoma (9/10) and fluid-blood density level in the haematoma cavity (7/10) were frequently found on CT scan. The characteristic surgical findings in patients treated by direct surgery were subarachnoid haemorrhage adjacent to intracerebral haematoma (8/8) and the existence of a tangle of vessels in the haematoma cavity (4/8). Evacuation of haematomas was relatively easy, and difficulty of haemostasis was not encountered during surgery.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01404847
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