Intrazerebrale Blutung

Intracranial hemorrhage • Evolution of MRI signal characteristics of intracranial hemorrhage (diagram) - Ganzer Fall bei Radiopaedia

Intracranial

hemorrhage • Evolution of MRI signal characteristics of intracranial hemorrhage (diagram) - Ganzer Fall bei Radiopaedia

Gaillard, F. Evolution of MRI signal characteristics of intracranial hemorrhage (diagram). Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-36065 • CC by-nc-sa 3.0 (modified)

Magnetic resonance imaging of arterial stroke mimics: a pictorial review. A 48-year-old woman with intracerebral haemorrhage presenting with left hemiplegia and left homonymous hemianopsia. DWI shows heterogeneous signal abnormalities involving the right lenticular nucleus on b1000 (a), apparent diffusion coefficient (ADC) (b) and fluid-attenuated inversion recovery (FLAIR) (c). The lesion appears as a peripheral hypointensity on T2 with gradient recalled echo weighted imaging (T2-GRE) (d, arrows)

Magnetic

resonance imaging of arterial stroke mimics: a pictorial review. A 48-year-old woman with intracerebral haemorrhage presenting with left hemiplegia and left homonymous hemianopsia. DWI shows heterogeneous signal abnormalities involving the right lenticular nucleus on b1000 (a), apparent diffusion coefficient (ADC) (b) and fluid-attenuated inversion recovery (FLAIR) (c). The lesion appears as a peripheral hypointensity on T2 with gradient recalled echo weighted imaging (T2-GRE) (d, arrows)

insightsimaging.springeropen.com • Open Access

Hypertensive intracerebral hemorrhage • Cerebellar hemorrhage - Ganzer Fall bei Radiopaedia

Hypertensive

intracerebral hemorrhage • Cerebellar hemorrhage - Ganzer Fall bei Radiopaedia

Cuete, D. Cerebellar hemorrhage. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-27193 • CC by-nc-sa 3.0 (modified)

Hypertensive intracerebral hemorrhage • Hypertensive intracerebral hemorrhage - Ganzer Fall bei Radiopaedia

Hypertensive

intracerebral hemorrhage • Hypertensive intracerebral hemorrhage - Ganzer Fall bei Radiopaedia

Abdrabou, A. Hypertensive intracerebral hemorrhage. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-22749 • CC by-nc-sa 3.0 (modified)

Intracerebral hemorrhage • Hyperacute intracerebral hemorrhage on MRI and CT - Ganzer Fall bei Radiopaedia

Intracerebral

hemorrhage • Hyperacute intracerebral hemorrhage on MRI and CT - Ganzer Fall bei Radiopaedia

Voss, Y. Hyperacute intracerebral hemorrhage on MRI and CT. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-49757 • CC by-nc-sa 3.0 (modified)

Intracerebral hemorrhage • Hemorrhagic cerebral infarction - Ganzer Fall bei Radiopaedia

Intracerebral

hemorrhage • Hemorrhagic cerebral infarction - Ganzer Fall bei Radiopaedia

Abdrabou, A. Hemorrhagic cerebral infarction. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-25281 • CC by-nc-sa 3.0 (modified)

Intracerebral hemorrhage • Intracerebral hemorrhage - Ganzer Fall bei Radiopaedia

Intracerebral

hemorrhage • Intracerebral hemorrhage - Ganzer Fall bei Radiopaedia

Cuete, D. Intracerebral hemorrhage. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-24620 • CC by-nc-sa 3.0 (modified)

Intracerebral hemorrhage • Cerebral hematoma - Ganzer Fall bei Radiopaedia

Intracerebral

hemorrhage • Cerebral hematoma - Ganzer Fall bei Radiopaedia

Abdrabou, A. Cerebral hematoma. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-22894 • CC by-nc-sa 3.0 (modified)

Intracerebral hemorrhage • Subacute intracranial hemorrhage - Ganzer Fall bei Radiopaedia

Intracerebral

hemorrhage • Subacute intracranial hemorrhage - Ganzer Fall bei Radiopaedia

Hsu, C. Subacute intracranial hemorrhage. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-19872 • CC by-nc-sa 3.0 (modified)

Intracerebral hemorrhage • Coagulopathy related intracerebral hemorrhage - Ganzer Fall bei Radiopaedia

Intracerebral

hemorrhage • Coagulopathy related intracerebral hemorrhage - Ganzer Fall bei Radiopaedia

Mudgal, P. Coagulopathy related intracerebral hemorrhage. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-26118 • CC by-nc-sa 3.0 (modified)

Intracerebral hemorrhage • Traumatic intracerebral hemorrhage - Ganzer Fall bei Radiopaedia

Intracerebral

hemorrhage • Traumatic intracerebral hemorrhage - Ganzer Fall bei Radiopaedia

Sorrentino, S. Traumatic intracerebral hemorrhage. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-16000 • CC by-nc-sa 3.0 (modified)

Intracerebral hemorrhage • Hemorrhagic infarcts - vertebral artery occlusion - Ganzer Fall bei Radiopaedia

Intracerebral

hemorrhage • Hemorrhagic infarcts - vertebral artery occlusion - Ganzer Fall bei Radiopaedia

Desai, P. Hemorrhagic infarcts - vertebral artery occlusion. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-10912 • CC by-nc-sa 3.0 (modified)

Einige Tage alter kortikaler Hirninfarkt rechts hochfrontal mit geringer Hämorrhagie. MRT T1 koronar. Man erkennt das Infarktareal leicht hypointens und darin schlierenartig eine Hyperintensität, die dem ausgetretenen Blut entspricht (Pfeil).

Einige Tage

alter kortikaler Hirninfarkt rechts hochfrontal mit geringer Hämorrhagie. MRT T1 koronar. Man erkennt das Infarktareal leicht hypointens und darin schlierenartig eine Hyperintensität, die dem ausgetretenen Blut entspricht (Pfeil).

Wikipedia • CC BY-SA 3.0

Intracerebral hemorrhage • Intracerebral hemorrhage (warfarinised) - Ganzer Fall bei Radiopaedia

Intracerebral

hemorrhage • Intracerebral hemorrhage (warfarinised) - Ganzer Fall bei Radiopaedia

Jones, J. Intracerebral hemorrhage (warfarinised). Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-6153 • CC by-nc-sa 3.0 (modified)

COVID-19 neurological manifestations: correlation of cerebral MRI imaging and lung imaging—Observational study. A 50-year-old male presented with sever continuous headache during COVID infection, expressive aphasia. MRI revealed right occipital well defined intra axial space occupying lesion. a Axial T1 WI showed area of peripheral high SI with central area of iso intense signal intensity. b Axial FLAIR show area of peripheral edema (c) axial T2WI showed area of relative low SI with peripheral edema (d) ADC map and (e) DWI show area of peripheral restriction. Finding correlates with subacute intraparenchymal hematoma. f CT lung showed multifocal GGO and consolidation, very typical COVID abnormalities (CORAD-V)

COVID-19

neurological manifestations: correlation of cerebral MRI imaging and lung imaging—Observational study. A 50-year-old male presented with sever continuous headache during COVID infection, expressive aphasia. MRI revealed right occipital well defined intra axial space occupying lesion. a Axial T1 WI showed area of peripheral high SI with central area of iso intense signal intensity. b Axial FLAIR show area of peripheral edema (c) axial T2WI showed area of relative low SI with peripheral edema (d) ADC map and (e) DWI show area of peripheral restriction. Finding correlates with subacute intraparenchymal hematoma. f CT lung showed multifocal GGO and consolidation, very typical COVID abnormalities (CORAD-V)

ejrnm.springeropen.com • CC-by-4.0

Newborn with congenital diaphragmatic hernia on ECMOCoronal and sagittal US of the brain shows a large, round echogenic lesion in the left parietal lobe.The diagnosis was intracerebral hemorrhage on ECMO.

Newborn with

congenital diaphragmatic hernia on ECMOCoronal and sagittal US of the brain shows a large, round echogenic lesion in the left parietal lobe.The diagnosis was intracerebral hemorrhage on ECMO.

pediatricimaging.org • CC-by-nc-sa 4.0

Newborn who is on ECMO after cardiac surgeryCoronal US of the brain (below) shows echogenic material in right subdural space. Coronal and sagittal US of the brain (above) shows a right parietal round mixed echogenicity lesion.The diagnosis was subdural hematoma on ECMO and intracerebral hemorrhage on ECMO.

Newborn who

is on ECMO after cardiac surgeryCoronal US of the brain (below) shows echogenic material in right subdural space. Coronal and sagittal US of the brain (above) shows a right parietal round mixed echogenicity lesion.The diagnosis was subdural hematoma on ECMO and intracerebral hemorrhage on ECMO.

pediatricimaging.org • CC-by-nc-sa 4.0

Comparison of conventional gradient echo image (GRE) with TE=20 ms (left) and susceptibility weighted image (SWI) with TE=40 ms (right) collected at 1.5 Tesla. Subject shows hemorrhage from trauma.

Comparison of

conventional gradient echo image (GRE) with TE=20 ms (left) and susceptibility weighted image (SWI) with TE=40 ms (right) collected at 1.5 Tesla. Subject shows hemorrhage from trauma.

Wikipedia • CC BY-SA 3.0

Comparison of conventional gradient echo T2*-weighted image (left, TE=20ms), susceptibility weighted image (SWI) and SWI phase image (center and right, respectively, TE=40ms) at 1.5 Tesla. Low signal foci in cerebral amyloid angiopathy (CAA) is shown.

Comparison of

conventional gradient echo T2*-weighted image (left, TE=20ms), susceptibility weighted image (SWI) and SWI phase image (center and right, respectively, TE=40ms) at 1.5 Tesla. Low signal foci in cerebral amyloid angiopathy (CAA) is shown.

Wikipedia • CC BY-SA 3.0

Intracerebral hemorrhage • Intracerebral hemorrhage - spot sign - Ganzer Fall bei Radiopaedia

Intracerebral

hemorrhage • Intracerebral hemorrhage - spot sign - Ganzer Fall bei Radiopaedia

Mitchell, P. Intracerebral hemorrhage - spot sign. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-34481 • CC by-nc-sa 3.0 (modified)

Hypertensive intracerebral hemorrhage • Hypertensive basal ganglial bleed - Ganzer Fall bei Radiopaedia

Hypertensive

intracerebral hemorrhage • Hypertensive basal ganglial bleed - Ganzer Fall bei Radiopaedia

Gaillard, F. Hypertensive basal ganglial bleed. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-10598 • CC by-nc-sa 3.0 (modified)

Hypertensive intracerebral hemorrhage • Hypertensive hemorrhage - Ganzer Fall bei Radiopaedia

Hypertensive

intracerebral hemorrhage • Hypertensive hemorrhage - Ganzer Fall bei Radiopaedia

Radswiki, T. Hypertensive hemorrhage. Case study, Radiopaedia.org. (accessed on 22 Oct 2022) https://doi.org/10.53347/rID-11513 • CC by-nc-sa 3.0 (modified)

CT-scan of a frontal intracerebral hemorrhage on the right (left image side) as a contre coup. There is dens suture material visible left occipital in the skin.

CT-scan of a

frontal intracerebral hemorrhage on the right (left image side) as a contre coup. There is dens suture material visible left occipital in the skin.

Wikipedia • CC BY-SA 3.0

Radiopaedia • CC-by-nc-sa 3.0 • de

siehe auch

Intrakranielle Blutung
Altersbestimmung Blutung MRT
Ponsblutung
zerebrale Mikroblutungen
Einblutung in die Basalganglien
Lobärblutung
Kleinhirnblutung
Hirnblutung mit Ventrikeleinbruch
subpiale Blutung
Einteilung Hirnblutung
intracranial hemorrhage evaluation with mri
zerebraler Mittellinienshift
hypertensive haemorrhage
haemorrhagic venous infarct

An intracerebral hemorrhage, or intraparenchymal cerebral hemorrhage, is a subset of an intracranial hemorrhage and encompasses a number of entities that have in common the acute accumulation of blood within the parenchyma of the brain. The etiology, epidemiology, treatment and prognosis vary widely depending on the type of hemorrhage, and as such, these are discussed separately.

They are most often broadly divided according to whether they are spontaneous (primary) or due to an underlying lesion (secondary), and then further divided according to etiology and/or location.

primary hemorrhages (no underlying lesion)

lobar hemorrhages secondary to cerebral amyloid angiopathy
hypertensive hemorrhages

secondary hemorrhages (some other lesion complicated by hemorrhage)

vascular malformation
cerebral venous thrombosis
tumor (primary or secondary)

Practical points

With any intracerebral hemorrhage the following points should be included in a report as they have prognostic implications :

location
size/volume
- the ABC/2 formula is widely used, but there may be more accurate formulas (e.g. 2.5ABC/6, SH/2) and analyzes available, some of which, however, may require the addition of specific software to the standard PACS tools
shape (irregular vs regular)
density (homogeneous vs heterogeneous)
presence/absence of substantial surrounding edema that may indicate an underlying tumor
presence/absence of intraventricular hemorrhage
presence/absence of hydrocephalus
when CT angiography is performed, the presence/absence of the CTA spot sign or a vascular malformation