Chronic intraventricular encapsulated hematoma presenting unique radiological features

Ooba, Hiroshi; Kamida, Tohru; Isono, Mitsuo; Kobayashi, Hidenori; Karashima, Atsushi; Yamashita, Masafumi

doi:10.1016/s0090-3019(02)00971-0

Cited by 13 publications

(11 citation statements)

References 10 publications

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“…Some cases have occurred in the cerebellum, 1,2,19) the basal ganglia, [11][12][13][14][15]23) and the lateral ventricle. 17,21,25) In about half of cases, the cause of the initial hemorrhage is malformation of a blood vessel, and in 10 cases, including the present one, the source of bleeding was cavernous angioma (Table 1). 18,19,21,22,24,27,30) Prospective study of 122 patients with intracranial cavernous angioma found the risk of hemorrhage is 2.63% per year, and the risk increases to 4.5% per year for patients with prior hemorrhage.…”

Section: Discussionmentioning

confidence: 85%

“…CEIH is a special type of intracerebral hematoma described for the first time in 1981, 10) with about 50 cases reported. [1][2][3][4][5][6][7][8][9][10][11][12]14,16,[18][19][20][21][22][23][24][25][26][27][28][29][31][32][33][34][35][36] Compared with normal intracerebral hemorrhage, CEIH is characterized by early age of onset and rare complication by hypertension, and almost all such lesions have developed beneath the cerebral cortex. 12) Headaches and seizures are the most common earliest symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Chronic Encapsulated Intracerebral Hematoma Associated With Cavernous Angioma -Case Report-

Miyahara

Fujitsu

Yagishita

et al. 2011

Neurol. Med. Chir.(Tokyo)

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An 80-year-old male presented with a chronic encapsulated intracerebral hematoma (CEIH) with surrounding edema under the right frontal lobe manifesting as slow exacerbation of disturbance of orientation and gait. He had a history of cerebral infarction with an asymptomatic cavernous angioma in the right frontal lobe. The CEIH was diagnosed as bleeding from the cavernous angioma, and surgical removal was performed. The hematoma was chronic and covered by a thick capsule. In addition, mass tissue covered with the organized hematoma was found near the capsule, which was excised and found to be a cavernous angioma. CEIH is a special type of intracerebral hemorrhage, and bleeding from a cavernous angioma is occasionally seen. CEIH should be considered in the case of a hemorrhagic intracranial lesion with a chronic, progressive course with capsule formation and edema around the lesion. The source of bleeding is unknown in about half of the reported cases, and occult vascular malformation may be involved, necessitating care in diagnosis.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Chronic Encapsulated Intracerebral Hematoma Associated With Cavernous Angioma -Case Report-

Miyahara

Fujitsu

Yagishita

et al. 2011

Neurol. Med. Chir.(Tokyo)

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“…To date, 54 other cases have been reported in the literature. [1234567891011121314151617181920212223242526272829303132333435363738394041424344] Table 1 depicts background characteristics and details of the patients. CEIH is a disease affecting all ages; the youngest reported patient was 2 months old and the oldest was 80 years old.…”

Section: Discussionmentioning

confidence: 99%

Chronic encapsulated intracerebral hematoma: Three case reports and a literature review

Nishiyama¹,

Toi²,

Takai³

et al. 2014

Surg Neurol Int

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Background:Chronic encapsulated intracerebral hematoma (CEIH) is one type of intracerebral hematoma that sometimes grows progressively while forming a capsule and presenting with neurological deficits. Although many cases of CEIH have been reported, correct preoperative diagnosis is very difficult. Only around 20% of cases are diagnosed preoperatively.Case Description:We encountered three cases of CEIH in which causes were unidentified and difficult to diagnose. All three cases were treated surgically. In the first case, a 59-year-old male was diagnosed preoperatively with metastatic brain tumor. In the second case, a 62-year-old female was diagnosed preoperatively with glioblastoma. The third case involved a 58-year-old female diagnosed preoperatively with CEIH.Conclusion:We should keep in mind that CEIH is a differential diagnosis for intracerebral space-occupying lesions. This report describes these three cases and discusses imaging findings and characteristics of CEIH.

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“…The common feature of the two lesions is the formation of a capsule. The mechanism, however, remains unclear in most cases [1,2,3,4,5,6,7]. MRI can be used to demonstrate that a lesion is only a hematoma and is valuable in follow-up and in differentiating these hematomas from neoplasms.…”

Section: Discussionmentioning

confidence: 99%

“…Chronic intraventricular encapsulated hematoma is a rare entity and the exact mechanisms of capsule formation, progressive expansion and resolution have remained uncertain [1]. Here, the hematoma was in the lateral ventricle with a significant mass effect.…”

Section: Introductionmentioning

confidence: 99%

Chronic Intraventricular Encapsulated Hematoma in an Adult: A Case Report

Kechagias¹,

Ioakimidou

Georgakoulias³

et al. 2010

Case Rep Neurol

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This case report is a presentation of a chronic intraventricular encapsulated hematoma in an adult who presented with gait disturbance, fever, palsy of N. III, N. VI and N. VII, and photophobia. Ophthalmoscopy revealed a bilateral papilledema. Computed tomography scans and magnetic resonance imaging revealed an intraventricular mass in the lateral ventricle. Preoperative diagnosis could not rule out a neoplasm. The lesion was totally removed with open surgery and was found to be a chronic intraventricular encapsulated hematoma. A chronic intraventricular encapsulated hematoma is a rare entity. After the removal of the mass, the clinical symptoms of the patient gradually resolved.

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Chronic intraventricular encapsulated hematoma presenting unique radiological features

Cited by 13 publications

References 10 publications

Chronic Encapsulated Intracerebral Hematoma Associated With Cavernous Angioma -Case Report-

Chronic Encapsulated Intracerebral Hematoma Associated With Cavernous Angioma -Case Report-

Chronic encapsulated intracerebral hematoma: Three case reports and a literature review

Chronic Intraventricular Encapsulated Hematoma in an Adult: A Case Report

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