PNEUMOENCEPHALO-ROULETTE TOMOGRAPHY OF HYPERTENSIVE INTRACRANIAL HEMORRHAGE Masayoshi Kowada 1 , Shigeru Matsuoka 1 , Zentaro Ito 1 , Koichi Yamaguchi 2 1Division of Surgical Neurology and Radiology, Research Institute of Brain and Blood Vessels pp.1461-1465
Published Date 1971/11/1
DOI https://doi.org/10.11477/mf.1406203023
  • Abstract
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Almost all of surgically treated hypertensive intracerebral hemorrhages are lateral or combined types, in which diagnoses or operation approaches are possible to determine mainly by cerebral angio-graphy. There are, however, some cases in which-cerebral angiography is not enough to decide loca-tion of hematoma.

We have recently encountered a primary pontine or mesial type hemorrhage that showed no abnor-malities in even four vessels serial angiograms. Combined pneumoventriculo-pneumoencephalo rou-lette tomography has been performed in cases of stroke, in which location of hematoma has not been distinctly demonstrated by cerebral angiography.

Pneumoencephalo-roulette tomograms of mesial type, primary pontine and cerebellar hemorrhage have been described herein in detail, and a case of successfully evacuated intrapontine hematoma has been reported as the first case in Japan.

Copyright © 1971, Igaku-Shoin Ltd. All rights reserved.


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