1997
DOI: 10.1111/j.1740-8261.1997.tb02100.x
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Magnetic Resonance Imaging Appearance of Intracranial Hemorrhage Secondary to Cerebral Vascular Malformation in a Dog

Abstract: A 14-year-old dog developed an acute onset of depression, disorientation, left hemiparesis,left hemianopia, left facial hypoesthesia, and a tendency to turn to the right. Based on these findings, a lesion affecting the right forebrain was suspected. Magnetic resonance imaging showed a mass within the right cerebral hemisphere resulting in compression of the right lateral ventricle and shifting the longitudinal fissure to the left. The lesion was hyperintense on T1-weighted images and hyperintense with focal re… Show more

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Cited by 42 publications
(40 citation statements)
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“…In humans, clinical signs due to cerebral vascular malformations have a peak incidence in the third decade of life. 14,15 In humans, late onset of signs has been explained by continued hemodynamic stress and consequent attenuation of the abnormal vessels which eventually leads to hemorrhage. 15,16 In addition, there is strong evidence that some CNS vascular malformations in people may be acquired, as a result of trauma, radiation, or other injury to the CNS.…”
mentioning
confidence: 99%
“…In humans, clinical signs due to cerebral vascular malformations have a peak incidence in the third decade of life. 14,15 In humans, late onset of signs has been explained by continued hemodynamic stress and consequent attenuation of the abnormal vessels which eventually leads to hemorrhage. 15,16 In addition, there is strong evidence that some CNS vascular malformations in people may be acquired, as a result of trauma, radiation, or other injury to the CNS.…”
mentioning
confidence: 99%
“…The formation of methemoglobin in such a lesion is a result of decreasing oxygen tension within the hematoma as it ages, causing deoxyhemoglobin to be oxidized to methemoglobin. 9 This timing fits with the dog's history of hind limb ataxia. The mixed appearance of the lesion was hypothesized to represent repeated small hemorrhages associated with continued disruption of the intervertebral venous plexuses at this site.…”
Section: Discussionmentioning
confidence: 64%
“…The MRI appearance of hematomas is reported to be dependent on several factors; included among these is the duration of a hematoma, which influences its biochemical makeup and, in turn, determines its intensity on specific MRI sequences. 6,8,9 The lesion in the dog of this report was most consistent with a subacute to chronic hematoma; such hematomas (containing primarily extracellular methemoglobin) would be expected to appear hyperintense on T1-and T2-weighted images, 8 compared with the spinal cord, as detected in the dog of this report. The formation of methemoglobin in such a lesion is a result of decreasing oxygen tension within the hematoma as it ages, causing deoxyhemoglobin to be oxidized to methemoglobin.…”
Section: Discussionmentioning
confidence: 79%
“…Due to the similar MR signal pattern and the high incidence in older horses intraventricular cholesteatoma was our main differential diagnosis. T1W iso-to hyperintense and T2W hypointense signal, which is accentuated to signal voids in T2*W are consistent with early subacute hemorrhage (Thomas et al 1997). This is an unspecific finding and was described with metastatic hemangiosarcoma (Dennler et al 2007), hemangioma (Eichelberger et al 2011) and intratumoral hemorrhage in choroid plexus tumors in dogs (Wisner et al 2011).…”
Section: Discussionmentioning
confidence: 98%