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Delayed intracerebral hemorrhage as demonstrated by CT scanning

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Summary

Three patients are presented who developed delayed intracerebral hematomas after head injury. Two patients had essentially negative CT scans on admission and developed intracerbral hematomas within 24 h after injury. They required surgical treatment and had fatal outcomes. The third patient presented with an epidural hematoma on CT scan, developed an intracerebral hematoma 48 h after evacuation of the epidural hematoma, and did well with conservative management.

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References

  1. Bollinger, O.: Über traumatische Spät-Apoplexie. Ein Beitrag zur Lehre von der Hirnerschütterung. Internationale Beiträge zur Wissenschaftlichen Medicin. Festschrift. Rudolph Virchow. Berlin: Hirschwald. 2, 457–470 (1891)

    Google Scholar 

  2. Michel, E.: Ein Beitrag zur Frage von der sogenannten traumatischen Spätapoplexie. Wien. Klin. Wochensch. 9, 789–793 (1986)

    Google Scholar 

  3. Bailey, P.: Traumatic apoplexy. Medical Record. 66, 528–529 (1904)

    Google Scholar 

  4. Naffziger, H. C., Jones, O. W. Jr: Late traumatic apoplexy: Report of three cases with operative recovery. Calif. West Med. 29, 361–364 (1928)

    Google Scholar 

  5. Rosenhagen, H.: Über Postkommotionelle Veränderungen im Gehirn, zugleich ein Beitrag zur Frage der postraumatischen Hirnblutungen. Deutsche Ztschr. f. Nervenh. 114, 29–73 (1930)

    Google Scholar 

  6. Craig, W. M., Adson, A. W.: Spontaneous intracerebral hemorrhage; etiology and surgical treatment with a report of nine cases. Arch. Neurol. Psychiatr. 35, 701–716 (1936)

    Google Scholar 

  7. Russell, W. R.: Late effects of head injury. Tr. Med.-Chir. Soc. Edinburgh, 88–93 1938–1939; in Edinburgh M. J. 1936; also, Tr. Ray. Med.-Chir. Soc. Glasgow, pp. 97–102, 1938–1939; in Glasgow M. J. (1939)

  8. Doughty, R. G.: Postraumatic delayed intrecerebral hemorrhage. South M. J. 31, 254–256 (1938)

    Google Scholar 

  9. Symonds, C. P.: Delayed traumatic intracerebral hemorrhage. Br. Med. J. 1940, 1, 1048–1051

    Google Scholar 

  10. DeJong, R. N.: Delayed traumatic intracerebral hemorrhage. Arch. Neurol. Psychiatr. 48, 257–266 (1942)

    Google Scholar 

  11. Grant, F. C., Austin, G. M.: The surgical treatment of spontaneous and traumatic intracerebral hemorrhage. Am. J. Med. Sci. 219, 237–241 (1950)

    Google Scholar 

  12. Jamieson, K.: Delayed traumatic intracerebral hemorrhage (Traumatische Spätapoplexie). Aust. N.Z.J. Surg. 23, 300–307 (1954)

    Google Scholar 

  13. McLaurin, R. L., McBride, B. H.: Traumatic intracerebral hematoma. Review of 16 surgically treated cases. Ann. Surg. 143, 294–305 (1956)

    Google Scholar 

  14. Ameli, N. O.: Delayed post-traumatic hemorrhage of the brain. Acta Med. Iran. I, 267–291 (1957)

    Google Scholar 

  15. Litner, R. H.: Intracerebral hemorrhage of traumatic origin: A case report. Boston Med. Q. 12, 13–19 (1961)

    Google Scholar 

  16. Baratham, G., Dennyson, W. G.: Delayed traumatic intracerebral haemorrhage. J. Neurol. Neurosurg. Psychiatr. 35, 698–706 (1972)

    Google Scholar 

  17. French, B. N., Dublin, A. B.: The value of computerized tomography in the management of 1000 consecutive head injuries. Surg. Neurol. 7, 171–183 (1977)

    Google Scholar 

  18. Brown, F. D., Mullan, S., Duda, E. E.: Delayed traumatic intracerebral hematomas: Report of three cases. J. Neurosurg. 48, 1019–1022 (1978)

    Google Scholar 

  19. Merino-de Villasante, J., Traveras, J.: Computed tomography (CT) in acute head trauma. Am. J. Roentgenol. 126, 765–778 (1976)

    Google Scholar 

  20. Reilly, P. L., Graham, D. I., Adams, J. H., Bryan, J.: Patients with head injury who talk and die. Lancet 1975, 2, 375–377

    Google Scholar 

  21. Evans, J. P., Scheinker, I. M.: Histologic studies of the brain following head trauma. II. Post-traumatic petechial and massive intracerebral hemorrhage. J. Neurosurg. 3, 101–113 (1946)

    Google Scholar 

  22. New, P., New F. J., Aronow, S.: Attenuation measurements of whole blood and blood fractions in computer tomography. Radiology 121, 635–640 (1976)

    Google Scholar 

  23. Goodkin, R., Zahniser, J.: Sequential angiographic studies demonstrating delayed development of an acute epidural hematoma. Case report. J. Neurosurg. 48, 479–482 (1978)

    Google Scholar 

  24. Oppenheimer, D. R.: Microscopic lesions in the brain following head injury. J. Neurol. Neusurg. Psychiatry 31, 299–306 (1968)

    Google Scholar 

  25. Graham, D. I., Adams, J. H.: Ischemic brain damage in fetal head injuries. Lancet 1971/I, 265–266

    Google Scholar 

  26. Diaz, F. G., Douglas, H. Y., Larson, D., Roskswold, G. L.: Early diagnosis of delayed posttraumatic intracerebral hematoma. J. Neurosurg. 50, 212–223 (1979)

    Google Scholar 

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Brunetti, J., Zingesser, L., Dunn, J. et al. Delayed intracerebral hemorrhage as demonstrated by CT scanning. Neuroradiology 18, 43–46 (1979). https://doi.org/10.1007/BF00346211

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