Clinical Study on Spontaneous Intracerebral Hematoma Mixed with CSF

ABSTRACT

An analysis and CT findings in 21 adult patients of spontaneous intracerebral hematoma(SICH) mixed with CSF who were admitted to the Fatima Hospital from December 1986 to May 1989. The following results were obtained; 1) We could differentiated SICH that have inhomogenous density and thought that it is composed of blood, CSF and blood-CSF mixture. 2) Previously reported pathways that intracerebral hematoma rupture into the ventricle are caudate nucleus and thalamus but intracerebral hematoma can be mixed with CSF through the subarachnoid space of Sylvian fissure as an another route. 3) Intracerebral hematoma mixed with CSF was removed easily, safely and enoughly with simple aspiration method as like resoluted hematoma in subacute or chronic phase. 4) The prognosis of patients with SICH mixed with CSF was very good unlike to that of patients with pure intracerebral hematoma and/or ventricular hemorrhage.