Summary
In a 42-year-old man, admitted a few hours after an acute cerebrovascular event, CT demonstrated a hyperdense hemorrhage surrounded by a hypodense rim similar to perifocal edema or liquefying blood, thus raising doubts about the acuteness of the event. Laboratory findings revealed Zieve-syndrome (alcoholic hyperlipemia, hemolytic anemia, and alcoholic fatty liver) and negative Hounsfield Unit measurement of the hypodense rim finally identified it as a layer of fat around the clot.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ashley MJ (1982) Alcohol consumption, ischemic heart disease and cerebrovascular disease. An epidemiological perspective. J Stud Alcohol 43: 869–887
Hillbom ME (1987) What supports the role of alcohol as a risk factor for stroke? Acta Med Scand [Suppl] 717: 93–106
Radü EW, Kendall BE, Moseley IF (1987) Computertomographie des Kopfes, 2. Aufl. Thieme, Stuttgart New York
Baraona E, Lieber CS (1976) Alcoholic hyperlipema. In: Schwiegk H (ed) Fettstoffwechsel. Springer, Berlin Heidelberg New York (Handbuch der inneren Medizin, vol 7, part 4, pp 389–407)
Lindegard B, Hillbom M (1987) Associations between brain infarction, diabetes and alcoholism: observations from the Gothenburg population cohort study. Acta Neurol Scand 75: 195–200
Feigl J (1918) Neue Untersuchungen zur Chemie des Blutes bei akuter Alkoholintoxikation und bei chronischem Alkoholismus mit besonderer Berücksichtigung der Fette und Lipoide. Biochem Z 92: 282–317
Chait A, Mancini M, February AW, Lewis B (1972) Clinical and metabolic study of alcoholic hyperlipidaemia. Lancet II: 62–64
Zieve L (1958) Jaundice, hyperlipemia and hemolytic anemia: a heretofore unrecognized syndrome associated with alcoholic fatty liver and cirrhosis. Ann Intern Med 48: 471–496
Hayashi T, Stemmermann GN (1967) Chronic alcoholism with pancreatitis, cirrhosis, and hyperlipemia. Arch Intern Med 120: 465–471
Younes F, Just R, Ranganath KA, Tourtellotte WW (1974) Lipid cerebrospinal fluid in a patient with cerebral hemorrhage. Neurology 24: 701–703
Burke BJ, McKee JI, Hargreaves T (1981) Hyperlipidaemia diagnosed at lumbar puncture. Postgrad Med J 57: 113–114
Buchwald K (1974) Akute Hyperlipidie im Liquor und Subarachnoidalblutung bei chronischem Alkoholismus. Med Klin 69: 236–238
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hilz, M.J., Huk, W., Druschky, K.F. et al. Fat deposition surrounding intracerebral hemorrhage in a patient suffering from Zieve-syndrome. Neuroradiology 31, 102–103 (1989). https://doi.org/10.1007/BF00342043
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00342043