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MR imaging as predictor of delayed posttraumatic cerebral hemorrhage
1Department of Neurosurgery, Seirei Mikatabara General Hospital, Shizuoka, Japan.
Journal of Neurosurgery
|August 1, 1988
Summary
T2-weighted magnetic resonance (MR) imaging can predict delayed traumatic intracerebral hemorrhage. This imaging technique identified potential hemorrhages in patients where initial computed tomography (CT) scans were inconclusive.
Area of Science:
- Neurology
- Radiology
- Medical Imaging
Background:
- Delayed traumatic intracerebral hemorrhage is a potential complication following head injury.
- Initial computed tomography (CT) scans may not always detect subtle or developing parenchymal lesions.
Observation:
- Six patients with suspected cerebral contusion and inconclusive initial CT scans underwent T2-weighted magnetic resonance (MR) imaging.
- Four of these patients showed T2-weighted MR images with increased signal intensity in the cerebral parenchyma.
Findings:
- The T2-weighted MR findings in four patients correlated with subsequent demonstration of hemorrhagic changes on follow-up CT scans.
- The remaining two patients, with no parenchymal lesions on MR imaging, showed no hemorrhagic changes on follow-up CT and had good neurological outcomes.
Implications:
- T2-weighted MR imaging is a valuable tool for predicting the occurrence of delayed traumatic intracerebral hemorrhage.
- Early identification of hemorrhage risk through MR imaging can potentially guide clinical management and improve patient outcomes.