Added Value of Diffusion Weighted Magnetic Resonance Imaging MRI in Intracranial Hemorrhage

Document Type : Original Article

Authors

1 Radiology department , Benha faculty of medicine , Egypt

2 Professor and Head of Radiology Department Armed Air Force General Hospital Professor at Military Medical Academy , Cairo, Egypt .

3 Radiodiagnosis, Faculty of Medicine, Banha University

Abstract

Objectives: Intracranial hemorrhage is common and is caused by diverse pathology, including trauma, hypertension, and cerebral amyloid angiopathy, hemorrhagic conversion of ischemic infarction, cerebral aneurysms, cerebral arteriovenous malformations, dural arteriovenous fistula, vasculitis, and venous sinus thrombosis, among other causes. Neuroimaging is essential for the treating physician to identify the cause of hemorrhage and to understand the location and severity of hemorrhage, the risk of impending cerebral injury, and to guide often emergent patient treatment.

Aim of study: is to evaluate the added value of diffusion weighted MRI in intracranial hemorrhage.

Subjects and methods: this a prospective case series study. The Study was conducted on selected group of patients with intracranial hemorrhage, or clinical suspicion of intracranial hemorrhage.

Results: The study showed that we found 8 cases of hyper acute blood, all are detected with DWL. 8 cases of acute blood, two cases are missed with DWL, 11 cases of early subacute blood, all are detected with DWL. 53 cases of late subacute blood, four cases are missed with DWL, 2 cases of chronic blood.

Conclusion: DWI demonstrated the characteristic MR features of intra-cerebral hematoma at various stages. A better understanding of the DWI findings of intra-cerebral hematoma can be helpful for the differentiation of intra-cerebral hematoma from acute infarction and for the further characterization of intracranial hemorrhagic lesions.

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