Related Experiment Videos
[Multilocular encapsulated intracerebral hematoma; a case report]
S Mabuchi1, H Kamiyama, Y Iwasaki
1Department of Neurosurgery, Hokkaido University.
No Shinkei Geka. Neurological Surgery
|July 1, 1991
Summary
Encapsulated intracerebral hematomas are rare brain lesions that can mimic tumors. This case highlights characteristic CT findings and emphasizes the need to identify underlying vascular malformations for proper surgical treatment.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Encapsulated intracerebral hematomas are infrequently encountered and can be misdiagnosed as brain tumors.
- Characteristic imaging findings on computed tomography (CT) can aid in diagnosis.
Observation:
- A patient presented with a high-density mass and peripheral low density on computed tomography (CT).
- Surgical removal revealed a hematoma with a thick, fibrous capsule, associated with a cavernous hemangioma.
Findings:
- The hematoma's capsule formation was likely due to repeated hemorrhages from an underlying vascular malformation.
- Characteristic CT features can aid in differentiating these hematomas from neoplastic lesions.
Implications:
- Increased awareness of encapsulated intracerebral hematomas can improve diagnostic accuracy.
- Preoperative identification of occult vascular malformations is essential for successful surgical intervention.