Computed tomography findings in multiple simultaneous intracerebral hemorrhages

GÖKÇE E., Beyhan M., Acu L., ACU B.

INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, vol.9, no.6, pp.10414-10423, 2016 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 9 Issue: 6
  • Publication Date: 2016
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.10414-10423
  • Eskisehir Osmangazi University Affiliated: Yes


Objective: In the present study, computed tomography (CT) findings of Multiple Simultaneous Intracerebral Hemorrhages (MSICHs) are presented. Methods: Of 139 patients who had cranial CT in March 2010-June 2015 period and who had been found to have spontaneous ICH, 20 patients (14 males and 6 females) with MSICHs were included in the present study at the Gaziosmanpasa University School of Medicine Research and Training Hospital. All patients in this study were subjected to 5 mm, non-contrast CT examination on admission. Number, localization and volume of hematomas were studied in CT examinations. Results: Age of the patients with MSICH ranged from 1 to 83 (mean 59.26 +/- 18.94). MSICH incidence in all ICHs was 14.4%. Seven patients had primary MSICHs due to hypertension or amyloid angiopathy, while 13 patients had secondary MSICHs. A total of 84 hematomas were detected in all patients, and 70 of them (83.3%) were of lobar, 7 (8.3%) deep, 4 (4.8%) of cerebellar and 3 (3.6%) of brain stem location. Hematoma volumes varied from 0.01 to 111.15 ml (median 0.50 ml). No statistical difference was observed between the volumes of primary and secondary MSICHs (P=0.32). Conclusion: An increase has been observed in MSICH detection incidence by practicing thin-slice cranial CT examinations. Number and sizes of MSICHs could vary independent of etiological factors.