Summary
Blood-fluid levels within the cerebral parenchyma are observed more frequently on CT and MRI in traumatic intracerebral haematomas than in those of other aetiologies. The intraparenchymal blood-fluid interface can be formed without a fluid cavity. It is suggested that the blood-fluid levels represent layering of red blood cells within areas of contusion necrosis as well as extensive contusion oedema. The more extensive the damage to brain tissue, the more often blood-fluid levels formed. A poorer outcome can be therefore predicted when an intraparenchymal blood-fluid interface is seen.
Similar content being viewed by others
References
Katayama Y, Tsubokawa T, Miyazaki S, Kawamata T, Yoshino A (1990) Oedema fluid formation within contused brain tissue as a cause of medically uncontrollable elevation of intracranial pressure in head trauma patients. Acta Neurochir [Suppl] (Wien) 51: 308–310
Livioni JP, McGahan JP (1983) Intracranial fluid-blood levels in the anticoagulated patient. Neuroradiology 25: 335–337
Teasdale G, Murray G, Parker L, Jennett B (1979) Adding up the Glasgow Coma Score. Acta Neurochir [Suppl] (Wien) 28: 13–16
Giannotta SL, Weiner JM, Karnaze D (1987) Prognosis and outcome in severe head injury. In: Cooper PR (ed.) Head injury, 2nd edn. Williams and Wilkins, Baltimore, pp 464–487
Teasdale G, Jennett B (1976) Assessment and prognosis of coma after head injury. Acta Neurochir (Wien) 34: 45–55
Isono M, Shindo K, Ito M, Hori S, Suzuki J (1989) CT findings of hypertensive intracerebral hematomas: considerations of the formation of hematomas (in Japanese). CT Kenkyu 11: 557–562
Kazner E, Lanksch W, Grumme T, Kretzschmar K (1980) Diagnosis and differential diagnosis of spontaneous ICH with CT scan. In: Pia HW, Langmaid C, Zierski J (eds) Spontaneous intracerebral hematomas: advances in diagnosis and therapy, Springer, Berlin Heidelberg New York, pp 178–190
Kamimura K, Goto K, Ishii K, Isu T, Okudera T (1978) CT diagnosis (in Japanese). Shinkei Kenkyu No Shinpo 22: 200–218
Scott WR, New PFJ, Davis KR, Schnur JA (1974) Computerized axial tomography of intracerebral and intraventricular hemorrhage. Radiology 112: 73–80
Katada K (1985) CT diagnosis of intracerebral hemorrhage (in Japanese). Gazoshindan 5: 527–530
Dolinskas CA, Bilaniuk LT, Zimmerman RA, Kuhl DE (1977) Computed tomography of intracerebral hematomas. I. Transmission CT observations on hematoma resolution. AJR 129: 681–688
Lindenberg R, Freytag E (1957) Morphology of cortical contusions. AMA Arch Pathol 63: 23–42
Katayama Y, Tsubokawa T, Miyazaki S (1989) Two types of delayed traumatic intracerebral hematomas: differential forms of treatment. Neurosurg Rev 12 [Suppl 1]: 231–236
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Katayama, Y., Tsubokawa, T., Kinoshita, K. et al. Intraparenchymal blood-fluid levels in traumatic intracerebral haematomas. Neuroradiology 34, 381–383 (1992). https://doi.org/10.1007/BF00596494
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00596494