From Spot Sign to Bleeding on the Spot: Classic and Original Signs of Expanding Primary Spontaneous Intracerebral Hematoma.


Journal

Case reports in radiology
ISSN: 2090-6862
Titre abrégé: Case Rep Radiol
Pays: United States
ID NLM: 101580187

Informations de publication

Date de publication:
2021
Historique:
received: 12 06 2021
accepted: 28 10 2021
entrez: 25 11 2021
pubmed: 26 11 2021
medline: 26 11 2021
Statut: epublish

Résumé

Expansion of a primary spontaneous intracranial hemorrhage (PSICH) has become lately of increasing interest, especially after the emergence of its early predictors. However, these signs lacked sensitivity and specificity. The flood phenomenon, defined as a drastic increase in the size of a PSICH during the same magnetic resonance study, was first described in this paper based on the data of a university medical center in Lebanon. Moreover, further review of this data resulted in 205 studies with presumed diagnosis of primary spontaneous intracranial hemorrhage within the last 10 years, of which 29 exams showed typical predictors of hematoma expansion on computed tomography. The intended benefit of this observation is to draw the radiologists' attention towards minimal variations in the volume of the hematoma between the two extreme sequences of the same MRI study, in order to detect inconspicuous flood phenomena-a direct sign of hematoma expansion.

Identifiants

pubmed: 34820144
doi: 10.1155/2021/9716952
pmc: PMC8608540
doi:

Types de publication

Case Reports

Langues

eng

Pagination

9716952

Informations de copyright

Copyright © 2021 Ali Kanj et al.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

Références

Front Neurol. 2020 Jul 17;11:702
pubmed: 32765408
Stroke. 2016 Feb;47(2):417-23
pubmed: 26715459
Stroke. 1993 Jul;24(7):987-93
pubmed: 8322400
Neurocrit Care. 2019 Dec;31(3):455-465
pubmed: 31363998
Stroke. 2015 Aug;46(8):2119-23
pubmed: 26089330
AJNR Am J Neuroradiol. 2013 May;34(5):965-70, S1
pubmed: 23124643
Neurologist. 2018 May;23(3):104-107
pubmed: 29722746
Front Neurosci. 2020 Nov 19;14:589050
pubmed: 33328859
J Neurol Sci. 2007 Jun 15;257(1-2):23-30
pubmed: 17341423
Cerebrovasc Dis. 2017;44(3-4):105-112
pubmed: 28605739
Neurosurg Focus. 2003 Oct 15;15(4):E1
pubmed: 15344894
Lancet Neurol. 2012 Apr;11(4):307-14
pubmed: 22405630
Stroke. 1999 Nov;30(11):2263-7
pubmed: 10548654
Stroke. 2020 Apr;51(4):1120-1127
pubmed: 32078498
Stroke. 2015 Nov;46(11):3111-6
pubmed: 26451019
JAMA Neurol. 2016 Aug 1;73(8):961-8
pubmed: 27323314
Stroke. 2016 Jul;47(7):1777-81
pubmed: 27174523
Stroke. 2017 Nov;48(11):3019-3025
pubmed: 29018128
J Neurosurg. 1998 Apr;88(4):650-5
pubmed: 9525710

Auteurs

Ali Kanj (A)

Radiology Department, Hammoud Hospital University Medical Center, Lebanon.

Abir Ayoub (A)

Radiology Department, Lebanese University, Lebanon.

Malak Aljoubaie (M)

Radiology Department, Beirut Arab University, Lebanon.

Ahmad Kanj (A)

American University of Beirut, Lebanon.

Assaad Mohanna (A)

Radiology Department, Lebanese University, Lebanon.

Feras Chehade (F)

Radiology Department, Hammoud Hospital University Medical Center, Lebanon.

Georges Rouhana (G)

Radiology Department, Lebanese University, Lebanon.

Classifications MeSH