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March 1976

Computerized Axial Tomography of Intracerebral Hematoma: A Clinical and Neuropathological Study

Author Affiliations

From the Acute Stroke Unit (Dr Butzer) and the departments of neurology (Dr Butzer), pathology (Dr Cancilla), and radiology (Dr Cornell), University of Iowa College of Medicine, Iowa City.

Arch Neurol. 1976;33(3):206-214. doi:10.1001/archneur.1976.00500030062014

• Excellent correlation between computerized axial tomographic (CT) scans and the location and extent of pathologically verified intracerebral hematomas was demonstrated in eight patients. Superficial and intraventricular extension, hydrocephalus, and mass effect were easily identified; CT scanning was superior to angiography and radionuclide brain scanning in diagnosing hematoma and in determining its extent and associated ventricular size. Angiography was superior to CT scanning in demonstrating aneurysms and arteriovenous malformations as a cause of intracerebral hematoma. Computerized axial tomographic scanning is also useful in following the resolution of hematomas and in guiding surgical intervention.