A COMPARISON OF NEUROIMAGING AND CLINICAL FINDINGS IN 100 PATIENTS WITH HEMORRHAGIC INFARCTION AND INTRACEREBRAL HEMATOMA

Clinical findings and neuroimaging techniques (cerebral computed tomog raphy - CCT, cerebral magnetic resonance imaging - MRI) were analysed in 100 patients with intracerebral bleeding. 53 patients had haemorrha gic infarctions, 47 patients had intracerebral haematoma. There were n o significant differences in the clinical symptoms. Differences were s hown in respect of risk factors (significantly more patients with adip ositas and alcohol abuse were found in the group with intracerebral ha ematoma.) Cerebral CT showed in the acute stage a low sensitivity and specificity of 27% in the group of haemorrhagic infarction in contrast to the high sensitivity and specificity of 81% in the group with intr acerebral haematoma. There were no relevant differences in CCT results in a two week follow-up (specificity 35% vs 81%). The findings in MRI , apart from differentiation between both groups, conveyed only little information regarding the aetiology of the bleeding with a slight adv antage in the group of patients with intracerebral haematoma (17%).