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Brain hemorrhage from intracranial tumor.

Abstract
Brain hemorrhage from an intracranial tumor was encountered in 7 males and 6 females during a 4-year period. In 5 patients, hemorrhage was responsible for the first signs of a previously unsuspected neoplasm. The intracranial lesion was demonstrated by computed tomography (CT scanning) in each patient. Characteristic CT scan findings included: a neoplastic core (high or low density); small, multifocal clots usually at the margin of the tumor; and, surrounding, often extensive, edema. Enhancement of the tumor tissue with intravenous injection of 60% Hypaque was observed in the 8 patients so studied. The regions which were enhanced had a peripheral distribution corresponding to the site of hemorrhage. Microscopic examination demonstrated 7 glioblastoma multiforme, 1 oligodendroglioma, 4 metastatic carcinomas (including 1 each of bronchogenic carcinoma, melanoma, hypernephroma, and adrenal carcinoma), and 1 hemangiopericytoma. High-grade malignancy and extensive, abnormal vascularity appeared to be predisposing factors.
AuthorsJ R Little, B Dial, G Bélanger, S Carpenter
JournalStroke (Stroke) 1979 May-Jun Vol. 10 Issue 3 Pg. 283-8 ISSN: 0039-2499 [Print] United States
PMID462514 (Publication Type: Journal Article)
Topics
  • Adolescent
  • Adult
  • Aged
  • Brain Edema (diagnosis)
  • Brain Neoplasms (complications, diagnosis)
  • Cerebral Angiography
  • Cerebral Hemorrhage (diagnosis, etiology)
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Metastasis
  • Tomography, X-Ray Computed

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