بررسي 29 مرود خونريزي داخل موتور مغزي

A STUDY OF 29 CASES OF BRAIN INTRATUMORAL HEMORRHAGE

Background and Objectives: About 5to10 percent of all brain tumors develop hemorrhage. Hemorrhage is more common in metastatic tumors. The most important clinical presentation is rise in intracranial pressure. Computerized tomography (CT) scan and Magnetic Resonance Imaging (MRI) are the best evaluation methods. In the present study, patients with brain tumors were evaluated for intratumoral hemorrhage utilizing MRI and CT scan. Materials and Methods: All admitted patients were evaluated with axial view of CT scan and MRI after clinical observation and coagulation tests. Results: Out of 642 cases with brain tumors studied, 29 cases were found to have intratumoral hemorrhage. Glioblastoma multiform was the most common pathologic type and acute severe headache was the most frequent clinical presentation. Intratumoral hemorrhage was more commonly observed in patients which were in their fifth and sixth decade of age. Conclusion: Intratumoral hemorrhage is one of the most important differential diagnosis for acute increase in intracranial pressure in patients who have been investigated or operated earlier or are under radiotherapy treatment for brain tumors.