Review of 194 patients with cerebral hemorrhage in Central of Army Hospital No 108 during 1994- 1998 was carried out. The high risk factors of primary cerebral hemorrhage include patients with ages of 50 and above, maximal blood pressure: 140 mmHg, minimal blood pressure: 90, low level of HDL- C: 0,9 mmol/l. CT scan, test of cerebrospinal fluid, leukopenia in peripheral blood in first hours help determine diagnostics of cerebral hemorrhage and prognosis.
Cerebral Hemorrhage ; diagnosis

37 patients (20 male, 17 female) treated in Bach Mai Hospital from May 2000 to March 2002 with definite diagnosis of ventricle hemorrhage. All they were undergone a CT scanning for detecting the blood in brain ventricle by various level and various images. In 19/37 patients by puncture encephalomyelo liquid was examined, in 1 patient there is an artery - venous communicans determined by arrterioangiography. Initial symptoms such as headache, nausea/vomit, conciousness disturbance, hemi-paralytis, seizure, fever, urine retention, uncontrolled urination, eyelid collapsure, dizziness and perspiration. An early diagnosis and proper treatment can decrease the mortality and the disability
Hemorrhage ; Patients ; Cerebral Ventricles ; diagnosis

Spontaneous intracerebral hemorrhage associated with traumatic carotid-cavernous fistula is rare. The cardinal symptoms of traumatic carotid-cavernous fistula are confined to ocular manifestations. This article describes a case of traumatic carotid-cavernous fistula which was initially diagnosed as an intracerebral hemorrhage, after ocular symptoms were overlooked. Because some cases of carotid-cavernous fistula have an atypical drainage which can result in intracerebral hemorrhage, early diagnosis and intervention are vital to prevent this unwanted intracerebral hemorrhage.
Cerebral Hemorrhage* ; Drainage ; Early Diagnosis ; Fistula*

A study on 114 patients at the Mental Department and Emergency Department in the General Nghe An Hospital from Aug 2002 to Aug 2004 showed that: cerebral stroke is common disorder in neurology. Cerebral hemorrhages patients have some symptoms such as: conscious disorders (90.5%); headache (95.2%); encephalic infarction with hemiplegia 72.2%. Cerebral hemorrhages with sudden onset (76.2%), serious conscious disorder (71.4%), headache (66.7%), and vomiting (57.1%), orbicularis disorder (80.9%), meningitis syndrome (57.1%). Although encephalic infarction onset is more serious, its symptoms are much lower than cerebral hemorrhages. The average blood pressure in patients with cerebral hemorrhages is higher than that in patients with encephalic infarction. 87.7% patients have one lesion nest identified by computed tomography (CT) scanner, in which infarction-hemorrhagic lesion was 7%. The method has high value in differential diagnosis between cerebral hemorrhages and cerebral infarction with the sensitivity of diagnosis of cerebral hemorrhages was 88.8% and encephalic infarction was 90.9%, the overall accuracy was 93.7%. Because the SIRIRAJ grade is simple, easy to count and mainly based on questioning patients, so it should be applied widely for doctors at community centers without CT scanner.
Cerebral Hemorrhage ; Cerebral Infarction ; Diagnosis ; Tomography ; X-Ray Computed

Spontaneous anterior cerebral artery (ACA) dissection, although extremely rare, is often associated with severe morbidity and mortality. It could lead to cerebral hemorrhage, ischemic stroke, or, rarely, combination of hemorrhage and ischemia due to hemodynamic changes. Prompt and accurate diagnosis is essential for determining the appropriate management. However, the optimal treatment for ACA dissection remains controversial. Herein, we report on two rare cases of subarachnoid hemorrhage (SAH) caused by ACA dissection; a case presenting with simultaneous SAH and infarction without aneurysmal formation and another case presenting with SAH with fusiform aneurysmal formation. A review of the related literature is provided, and optimal treatments for each type of dissection are suggested.
Aneurysm* ; Anterior Cerebral Artery* ; Cerebral Hemorrhage ; Diagnosis ; Hemodynamics ; Hemorrhage* ; Infarction ; Ischemia* ; Mortality ; Stroke ; Subarachnoid Hemorrhage*

The authors experience 3 cases of angiographically occult vascular malformation(AVOM) of the brain during the last 3 months in 1990. All cases were diagnosis of either operative or pathological finding and were associated with intracerebral hemorrhage. The authors recommend that surgery should be considered even to those angiographically negative intracerebral hemorrhage cases, once clinical features are highly suggestive of AOVM. Surgery can be an effective and define therapy for these entities, which are prone to cause recurrent hemorrhage and persistent neural deficits.
Brain* ; Cerebral Hemorrhage ; Diagnosis ; Hemorrhage ; Magnetic Resonance Imaging ; Vascular Malformations*

OBJECTIVE: This study is performed in order to compare T2* weighted magnetic resonance(T2*W MR) image to computerized tomography(CT) and conventional magnetic resonance(MR) image for the detection of minute traumatic intracerebral hemorrhage. METHODS: A series of 40 patients with head trauma underwent CT and MR image including T2*W MR sequnence. The authors compared T2*W MR image to CT and conventional MR image in the diagnosis of traumatic intracerebral hemorrhage. RESULTS: Thirty five of 40 patients(88%) were revealed the hemorrhagic foci in the T2*W MR image, whereas 30 patients(75%) were revealed in the conventional MR image, 18 patients(45%) in the CT. Therefore it is concluded that T2*W MR image is more sensitive than CT or conventional MR image in the diagnosis of minute traumatic intracerebral hemorrhage in patients with head trauma. CONCLUSION: If headache is persisted in the head trauma patients with negative CT and MR image finding, We recommend T2*W MR image.
Cerebral Hemorrhage, Traumatic* ; Craniocerebral Trauma ; Diagnosis* ; Headache ; Hemorrhage ; Humans

Cerebral Hemorrhage ; diagnosis ; Cerebral Infarction ; diagnosis ; Diagnosis, Differential ; Humans ; Medicine, Chinese Traditional

The results of treatment for 248 patients with spontaneous intracerebral hemorrhage are described. Spontaneous intracerebral hemorrhages are classified into primary(215 patients) and secondary(33 patients) hemorrhages. Most of the secondary hemorrhages were located in the subcortical area(64%). In the Non-treated group, eighty patients died immediately after diagnosis. In the treated group, the overall mortality was 5% in primary hemorrhages and 15% in secondary hemorrhages, and the percentages of hypertensive intracerebral hemorrhage patients returning to full-time work or independent life without disability or with minimal disability were 30% in putaminal hemorrhages, 86% in caudate hemorrhages, 44% in thalamic hemorrhages, 61% in subcortical hemorrhages, 78% in cerebellar hemorrhages and 40% in brainstem hemorrhages respectively. This study showed that surgical treatment did not give better result over conservative treatment in the management of hypertensive supratentorial and brainstem hemorrhage. However hypertensive caudate and cerebellar hemorrhage were associated with favorable outcomes regardless of the mode of therapy chosen. In severe hemorrhages, surgery may improve the length of survival, but the quality of life remains poor. The authors have shown again that aspiration surgery for hypertensive cerebellar hemorrhage is a valuable alternative to craniotomy.
Brain Stem ; Cerebral Hemorrhage* ; Craniotomy ; Diagnosis ; Hemorrhage ; Humans ; Intracranial Hemorrhage, Hypertensive ; Mortality ; Quality of Life

The real-time monitoring of cerebral hemorrhage can reduce its disability and fatality rates greatly. On the basis of magnetic induction phase shift, we in this study used filter and amplifier hardware module, NI-PXI data-acquisition system and LabVIEW software to set up an experiment system. We used Band-pass sample method and correlation phase demodulation algorithm in the system. In order to test and evaluate the performance of the system, we carried out saline simulation experiments of brain hemorrhage. We also carried out rabbit cerebral hemorrhage experiments. The results of both saline simulation and animal experiments suggested that our monitoring system had a high phase detection precision, and it needed only about 0.030 4s to finish a single phase shift measurement, and the change of phase shift was directly proportional to the volume of saline or blood. The experimental results were consistent with theory. As a result, this system has the ability of real-time monitoring the progression of cerebral hemorrhage precisely, with many distinguished features, such as low cost, high phase detection precision, high sensitivity of response so that it has showed a good application prospect.
Algorithms ; Animals ; Cerebral Hemorrhage ; diagnosis ; Computer Systems ; Magnetics ; Rabbits ; Software