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Early Spontaneous Hematoma in Cerebral Infarct:Is Primary Cerebral Hemorrhage Overdiagnosed? Neurol 41:837-840, Bogousslavsky,J.,et al, 1991 See this aricle in Pubmed Article Abstract We identified 15 patients(63+/-8 years)in whom CT showed no bleeding within 6 hours of stroke onset but showed ganglionic or lobar hemorrhage less than 18 hours later,without visible underlying infarct(early spontaneous intrainfarct hematoma(ESIH)).No patient had antithrombotic therapy or a coagulation disorder,but eight had hypertension.The second CT was prompted by rapid worsening(in 10)or because the first CT was not available(in five).Prior transient ischemic attacks,silent infarcts on CT, and a potential cardiac source of embolism were more common in patients with ESIH than in 200 patients with primary cerebral hemorrhage(PCH) admitted during the same period.Distal occlusions were present in four of five patients who underwent intracranial studies within the first 2 days. Most of these patients probably had embolism with early and extensive bleeding in the ischemic area.Our findings suggest that ESIH may be under- recognized,while PCH may be overdiagnosed.

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(click to filter results - removes previous filter) CAT scan CAT scan,abnormal cerebral embolism cerebral embolism,cardiac origin cerebral infarction cerebral infarction,hemorrhagic cerebrovascular accident embolism intracerebral hemorrhage

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