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Indian Journal of Surgery
Published in: Indian Journal of Surgery 5/2020

01-10-2020 | Hematoma | Images in Surgery

Can a Non-Contrast CT Scan of Brain Predict Hematoma Expansion in Acute Intracerebral Hemorrhage?

Author: Ripenmeet Salhotra

Published in: Indian Journal of Surgery | Issue 5/2020

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Abstract

A 52-year-old male presented with acute intracerebral hemorrhage. The non-contrast CT scan of brain was suggestive of the “CT blend sign” which predicts early hematoma expansion and poor prognosis. Despite appropriate management, hematoma growth was seen in repeat CT scan of brain. Other signs which predict hematoma growth are swirl sign, black hole sign, and fluid levels on non-contrast CT scan and spot sign on contrast-enhanced CT scan.
Literature
1.
Li Q, Zhang G, Huang YJ, Dong MX, Lv FJ, Wei X, Chen JJ, Zhang LJ, Qin XY, Xie P (2015) Blend sign on computed tomography: novel and reliable predictor for early hematoma growth in patients with intracerebral hemorrhage. Stroke. 46(8):2119–2123CrossRef
2.
Li Q, Zhang G, Xiong X, Wang XC, Yang WS, Li KW, Wei X, Xie P (2016) Black hole sign: novel imaging marker that predicts hematoma growth in patients with intracerebral hemorrhage. Stroke. 47(7):1777–1781CrossRef
3.
Demchuk AM, Dowlatshahi D, Rodriguez-Luna D, Molina CA, Blas YS, Dzialowski I, Kobayashi A, Boulanger JM, Lum C, Gubitz G, Padma V, Roy J, Kase CS, Kosior J, Bhatia R, Tymchuk S, Subramaniam S, Gladstone DJ, Hill MD, Aviv RI, PREDICT/Sunnybrook ICH CTA study group (2012) Prediction of haematoma growth and outcome in patients with intracerebral haemorrhage using the CT-angiography spot sign (PREDICT): a prospective observational study. Lancet Neurol 11(4):307–314CrossRef
Metadata
Title
Can a Non-Contrast CT Scan of Brain Predict Hematoma Expansion in Acute Intracerebral Hemorrhage?
Author
Ripenmeet Salhotra
Publication date
01-10-2020
Publisher
Springer India
Keyword
Hematoma
Published in
Indian Journal of Surgery / Issue 5/2020
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-020-02104-2

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