Fat deposition surrounding intracerebral hemorrhage in a patient suffering from Zieve syndrome.
In a 42-year-old man, admitted a few hours after an acute cerebrovascular event, CT demonstrated a hyperdense hemorrhage surrounded by a hypodense rim similar to perifocal edema or liquefying blood, thus raising doubts about the acuteness of the event. Laboratory findings revealed Zieve-syndrome (alcoholic hyperlipemia, hemolytic anemia, and alcoholic fatty liver) and negative Hounsfield Unit measurement of the hypodense rim finally identified it as a layer of fat around the clot.
Hilz
M J
MJ
Department of Neurology, University of Erlangen-Nuremberg, Federal Republic of Germany.
Huk
W
W
Druschky
K F
KF
Erbguth
F
F
D000328:Adult; D000743:Anemia, Hemolytic / Q000150:complications*; D001921:Brain / Q000473:pathology*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging* / Q000473:pathology; D005235:Fatty Liver, Alcoholic / Q000150:complications*; D006801:Humans; D006949:Hyperlipidemias / Q000150:complications*; D008297:Male; D013577:Syndrome; D014057:Tomography, X-Ray Computed