Arteriographically Visualized Extravasation in Hypertensive Intracerebral Hemorrhage

Author:

MIZUKAMI MASAHIRO1,Araki Goro1,Mihara Hiroshi1,TOMITA TAKASHI2,Fujinaga Ryozo3

Affiliation:

1. Institute of Brain and Blood Vessels, Mihara Memorial Hospital, Isesaki, Japan

2. Department of Neurosurgery, Keio University School of Medicine, Tokyo, Japan

3. Department of Neurosurgery, Ashikaga Red Cross Hospital Ashikaga, Japan

Abstract

Seven cases are reported in which extravasation of contrast medium from the lateral lenticulostriate artery was observed on cerebral angiography performed in the early stage of hypertensive intracerebral hemorrhage. We advance the theory that continuous bleeding from the ruptured artery with mechanical destruction and displacement of cerebral tissue is the cause of massive hematoma formation, and discuss the possibility of surgical treatment of the acute stage of hypertensive intracerebral hemorrhage.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Neurology (clinical)

Reference14 articles.

1. VASCULAR DISEASES OF THE NÈRVOUS SYSTEM

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3. MASSIVE CEREBRAL HEMORRHAGE

4. Matsuoka S: Morphological pathology of apoplexia cerebri based on vascular changes. Tr Soc Path Jap 39 Ed. gen.:1-10 1950 (in Japanese)

5. The nature and morphogenesis of the so-called angionecrosis of cerebral vessels, as the direct cause of apoplectic cerebral hemorrhage;Ooneda G;Gunma J Med Soc,1959

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