A Chronic Intracerebral Fluid Hematoma

Abstract

Intracerebral hematoma usually resolves and a chronic fluid hematoma is rare. We describe a rare case of intracerebral fluid hematoma. This report describes a case of intracerebral fluid hematoma mimicking a brain tumor and discusses the characteristics of this condition. A 70-year-old woman had a six-month history of memory disturbance. Computed tomography scan showed a low-density lesion with a partial high-density area in the right frontal lobe. MRI revealed a lesion of the main cystic portion showing high intensity on both T1 and T2 weighted images with a low-intensity solid portion in the anteromedial side. The lesion was adjacent to the lateral ventricle. Craniotomy was carried out and the lesion was removed. Pathological examination of the solid portion revealed that the diagnosis was reactive changes due to intracerebral hemorrhage. In our case, there was a possibility that the hematoma was diluted with cerebrospinal fluid, and coagulation might have been prevented.

Keywords

intracerebral hematoma fluid chronic

Get full access to this article

View all access options for this article.

References

Fujii

Takada

Ohno

. [Slowly progressive expanding hematoma in the basal ganglia: a Report of 3 cases and a literature review]. Brain Nerve. 2012; 64: 295–302. [Article in Japanese].

Ganapathy

. Chronic encapsulated intracerebral hematoma. Neurol India. 2011; 59 (4): 504–505. doi: 10.4103/0028-3886.84327.

Hirsh

Spector

Bogdanoff

. Chronic encapsulated intracerebral haematoma. Neurosurgery. 1981; 9 (2): 169–172. doi: 10.1227/00006123-198108000-00011.

Lee

Pan

DHC

DMT

. Chronic encapsulated expanding hematoma after gamma knife stereotactic radiosurgery for cerebral arteriovenous malformation. Clin Neurol Neurosurg. 2011; 113 (8): 668–671. doi: 10.1016/j.clineuro.2011.03.010.

Lin

Chen

, Tseng SH Chronic encapsulated intracerebral haematoma. J Clin Neurosci. 2007; 14 (1): 58–61. doi: 10.1016/j.jocn.2006.01.050.

Nakamizo

Suzuki

Saito

. Clinicopathological study on chronic encapsulated expanding hematoma associated with incompletely obliterated AVM after stereotactic radiosurgery. Acta Neurochir (Wien). 2011; 153 (4): 883–893. doi: 10.1007/s00701-010-0829-9.

Takeuchi

Nawashiro

Wada

. Chronic encapsulated intracerebral hematoma associated with cavernous angioma: Expression of vascular endothelial growth factor and its receptor. Neurol India. 2011; 59 (6): 903–904. doi: 10.4103/0028-3886.91375.

Tsuruta

Tsuboi

Nose

. Serial neuroimaging of encapsulated chronic intracerebral hematoma with repeated hemorrhage - Case report. Neurol Med Chir (Tokyo). 2003; 43: 439–442. doi: 10.2176/nmc.43.439.