Hemorrhagic primary intracranial neoplasms: clinical-computed tomographic correlations

Ten patients with symptomatic peritumoral hemorrhage were analyzed. The neoplasms included glioblastoma multiforme (9 cases) and oligodendroglioma (1 case). Two presented with stroke syndromes and initial CT showed an intracerebral nonenhancing hematoma. There was clinical improvement with CT evidence of resolution of the hematoma; however clinical deterioration occurred within 4-6 weeks and CT findings were consistent with an enhancing neoplasm. Eight patients had the sudden onset of neurological symptoms. The neurological deficit subsequently stabilized (2 cases) or worsened (6 cases). Initial CT showed evidence of an intracerebral hemorrhage on the noncontrast scan with evidence of heterogeneous ring enhancement on the post-contrast CT scan.