Noncontrast Computed Tomography Markers of Intracerebral Hemorrhage Expansion

doi:10.1161/STROKEAHA.116.015062

Review

. 2017 Apr;48(4):1120-1125.

doi: 10.1161/STROKEAHA.116.015062. Epub 2017 Mar 13.

Noncontrast Computed Tomography Markers of Intracerebral Hemorrhage Expansion

Gregoire Boulouis¹, Andrea Morotti², Andreas Charidimou², Dar Dowlatshahi², Joshua N Goldstein²

Affiliations

¹ From the Hemorrhagic Stroke Research Program, Neurology Department (G.B., A.M., A.C., J.N.G.) and Emergency Medicine Department (J.N.G.), Massachusetts General Hospital, Harvard Medical School, Boston; Neuroradiology Department, Université Paris Descartes, INSERM S894, Centre Hospitalier Sainte-Anne, France (G.B.); and Ottawa Hospital Research Institute, Canada Faculty of Medicine, University of Ottawa, Ontario (D.D.). gregoireboulouis@gmail.com.
² From the Hemorrhagic Stroke Research Program, Neurology Department (G.B., A.M., A.C., J.N.G.) and Emergency Medicine Department (J.N.G.), Massachusetts General Hospital, Harvard Medical School, Boston; Neuroradiology Department, Université Paris Descartes, INSERM S894, Centre Hospitalier Sainte-Anne, France (G.B.); and Ottawa Hospital Research Institute, Canada Faculty of Medicine, University of Ottawa, Ontario (D.D.).

PMID: 28289239
PMCID: PMC5378158
DOI: 10.1161/STROKEAHA.116.015062

Review

Noncontrast Computed Tomography Markers of Intracerebral Hemorrhage Expansion

Gregoire Boulouis et al. Stroke. 2017 Apr.

. 2017 Apr;48(4):1120-1125.

doi: 10.1161/STROKEAHA.116.015062. Epub 2017 Mar 13.

Authors

Gregoire Boulouis¹, Andrea Morotti², Andreas Charidimou², Dar Dowlatshahi², Joshua N Goldstein²

Affiliations

¹ From the Hemorrhagic Stroke Research Program, Neurology Department (G.B., A.M., A.C., J.N.G.) and Emergency Medicine Department (J.N.G.), Massachusetts General Hospital, Harvard Medical School, Boston; Neuroradiology Department, Université Paris Descartes, INSERM S894, Centre Hospitalier Sainte-Anne, France (G.B.); and Ottawa Hospital Research Institute, Canada Faculty of Medicine, University of Ottawa, Ontario (D.D.). gregoireboulouis@gmail.com.
² From the Hemorrhagic Stroke Research Program, Neurology Department (G.B., A.M., A.C., J.N.G.) and Emergency Medicine Department (J.N.G.), Massachusetts General Hospital, Harvard Medical School, Boston; Neuroradiology Department, Université Paris Descartes, INSERM S894, Centre Hospitalier Sainte-Anne, France (G.B.); and Ottawa Hospital Research Institute, Canada Faculty of Medicine, University of Ottawa, Ontario (D.D.).

PMID: 28289239
PMCID: PMC5378158
DOI: 10.1161/STROKEAHA.116.015062

No abstract available

Keywords: angiography; attention; cerebral hemorrhage; prognosis; stroke.

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Figures

**Figure 1. Examples of reported NCCT markers of hemorrhage-expansion**
Axial slices of acute Non-contrast-CTs in ICH. (A) Hypodensities including from left to right, a swirl sign, a black-hole sign and a central hypodensity in an ICH demonstrating significant expansion on repeated CT after 8h. (B) ICH with irregular margins and ICH with heterogeneous density (also qualifying for “hypodensities” and “swirl sign”. (C) Blend sign (D) Fluid level.

See this image and copyright information in PMC

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References

1. Brouwers HB, Greenberg SM. Hematoma expansion following acute intracerebral hemorrhage. Cerebrovasc Dis. 2013;35:195–201. - PMC - PubMed
1. Steiner T, Bösel J. Options to restrict hematoma expansion after spontaneous intracerebral hemorrhage. Stroke. 2010;41:402–409. - PubMed
1. Brouwers HB, Chang Y, Falcone GJ, Cai X, Ayres AM, Battey TWK, et al. Predicting hematoma expansion after primary intracerebral hemorrhage. JAMA Neurol. 2014;71:158–164. - PMC - PubMed
1. Romero JM, Bart Brouwers H, Lu J, Almandoz JED, Kelly H, Heit J, et al. Prospective validation of the computed tomographic angiography spot sign score for Intracerebral hemorrhage. Stroke. 2013;44:3097–3102. - PMC - PubMed
1. Du F-Z, Jiang R, Gu M, He C, Guan J. The Accuracy of Spot Sign in Predicting Hematoma Expansion after Intracerebral Hemorrhage: A Systematic Review and Meta-Analysis. PLoS ONE. 2014;9:e115777. - PMC - PubMed

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[1] Brouwers HB, Greenberg SM. Hematoma expansion following acute intracerebral hemorrhage. Cerebrovasc Dis. 2013;35:195–201. - PMC - PubMed

[2] Brouwers HB, Greenberg SM. Hematoma expansion following acute intracerebral hemorrhage. Cerebrovasc Dis. 2013;35:195–201. - PMC - PubMed

[3] Steiner T, Bösel J. Options to restrict hematoma expansion after spontaneous intracerebral hemorrhage. Stroke. 2010;41:402–409. - PubMed

[4] Steiner T, Bösel J. Options to restrict hematoma expansion after spontaneous intracerebral hemorrhage. Stroke. 2010;41:402–409. - PubMed

[5] Brouwers HB, Chang Y, Falcone GJ, Cai X, Ayres AM, Battey TWK, et al. Predicting hematoma expansion after primary intracerebral hemorrhage. JAMA Neurol. 2014;71:158–164. - PMC - PubMed

[6] Brouwers HB, Chang Y, Falcone GJ, Cai X, Ayres AM, Battey TWK, et al. Predicting hematoma expansion after primary intracerebral hemorrhage. JAMA Neurol. 2014;71:158–164. - PMC - PubMed

[7] Romero JM, Bart Brouwers H, Lu J, Almandoz JED, Kelly H, Heit J, et al. Prospective validation of the computed tomographic angiography spot sign score for Intracerebral hemorrhage. Stroke. 2013;44:3097–3102. - PMC - PubMed

[8] Romero JM, Bart Brouwers H, Lu J, Almandoz JED, Kelly H, Heit J, et al. Prospective validation of the computed tomographic angiography spot sign score for Intracerebral hemorrhage. Stroke. 2013;44:3097–3102. - PMC - PubMed

[9] Du F-Z, Jiang R, Gu M, He C, Guan J. The Accuracy of Spot Sign in Predicting Hematoma Expansion after Intracerebral Hemorrhage: A Systematic Review and Meta-Analysis. PLoS ONE. 2014;9:e115777. - PMC - PubMed

[10] Du F-Z, Jiang R, Gu M, He C, Guan J. The Accuracy of Spot Sign in Predicting Hematoma Expansion after Intracerebral Hemorrhage: A Systematic Review and Meta-Analysis. PLoS ONE. 2014;9:e115777. - PMC - PubMed

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Noncontrast Computed Tomography Markers of Intracerebral Hemorrhage Expansion

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Noncontrast Computed Tomography Markers of Intracerebral Hemorrhage Expansion

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