The predicted value of arteriography in nontraumatic intracerebral hemorrhage

Gilbert J Toffol; Jose Biller; Harold P Adams Jr; Wendy R K Smoker

doi:10.1161/01.STR.17.5.881

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The predicted value of arteriography in nontraumatic intracerebral hemorrhage

Journal article

Open access

Peer reviewed

The predicted value of arteriography in nontraumatic intracerebral hemorrhage

Gilbert J Toffol, Jose Biller, Harold P Adams Jr and Wendy R K Smoker

Stroke (1970), Vol.17(5), pp.881-883

1986

DOI: 10.1161/01.STR.17.5.881

PMID: 3764958

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Abstract

We retrospectively assessed the diagnostic value of cerebral arteriography for the search of an etiology in 102 patients with nontraumatic intracerebral hemorrhages evaluated between 1980 and 1985. Arteriography was diagnostic in 22 of 50 non-hypertensive patients and in only 6 of 47 hypertensive patients. Five patients with a bleeding diathesis had normal arteriography. From the total group, we found 12 saccular aneurysms, 9 arteriovenous malformations, 3 cases of moya-moya and 3 instances of superior sagittal sinus thrombosis. One patient had metastatic choriocarcinoma. Sites of hemorrhage among all patients with diagnostic arteriograms were: lobar 19, intraventricular 5, thalamic 2, caudate 1, and corpus callosum 1. Lobar hemorrhages in the non-hypertensive group and intraventricular hemorrhages in hypertensive individuals had the highest yield of arteriographic abnormalities. We believe cerebral arteriography is indicated in non-hypertensive patients with lobar hemorrhages. Most hypertensive patients, in particular those with putaminal hemorrhages, do not require arteriography.

Neurology

Biological and medical sciences

Vascular diseases and vascular malformations of the nervous system

Medical sciences

Details

Title: Subtitle: The predicted value of arteriography in nontraumatic intracerebral hemorrhage
Creators: Gilbert J Toffol - Univ. Iowa, dep. neurology, Iowa City IA 52242, United States
Jose Biller - Univ. Iowa, dep. neurology, Iowa City IA 52242, United States
Harold P Adams Jr - Univ. Iowa, dep. neurology, Iowa City IA 52242, United States
Wendy R K Smoker - Univ. Iowa, dep. neurology, Iowa City IA 52242, United States
Resource Type: Journal article
Publication Details: Stroke (1970), Vol.17(5), pp.881-883
Publisher: Lippincott Williams & Wilkins; Hagerstown, MD
DOI: 10.1161/01.STR.17.5.881
PMID: 3764958
ISSN: 0039-2499
eISSN: 1524-4628
Language: English
Date published: 1986
Academic Unit: Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
Record Identifier: 9984020875802771

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