The Fluid-Blood Level in a Spontaneous Intracerebral Hematoma / 대한뇌혈관외과학회지

A fluid-blood level is rarely seen on computed tomography (CT) studies of intracerebral hematomas (ICHs). The CT appearance of a fluid-blood level in an ICH has been associated with intratumoral bleeding, subdural hematomas, anti-coagulation and ruptured arteriovenous malformations. When fluid-blood levels are located around a hematoma with significant peri-hematoma edema, the fluid-blood level may merely indicate bleeding of recent origin. A fluid-blood could also represent a coagulopathy when the fluid-blood level is located in the center of a hematoma with less peri-hematoma edema. We report four cases of acute intracerebral hematomas in which fluid levels were noted on CT scans with a review of previous reports.