[Intracranial hemorrhage with fluid level. A case report without coagulation alterations].
The presence of intracranial hemorrhage with a fluid-blood level in patients receiving anticoagulant medication or with coagulopathy is an infrequent but well-documented complication. We reported a patient with a fluid-blood level with normal haemostasis. A 62-year-old-man was admitted with a left putaminal hemorrhage containing a fluid-blood level, but without abnormal haemostasis. Five months later the patient returned to the hospital because of a transient ischemic attack. A cranial CT demonstrated a hypodensity in the left putamen nucleus and corona radiata. Electrocardiogram revealed atrial fibrillation and a cardiac ultrasonographic examination showed mitral annulus calcification and left atrial enlargement. The finding of intracranial fluid-blood level has been seen in patients with arteriovenous malformations, primary and metastatic neoplasm, radiation-induced necroses, cerebral amyloid angiopathy, intrainfarct hematoma and without any identified aetiology. We suggest that in our patient this disorder was due to a intrainfarct hematoma.
Arjona
A
A
Servicio de Neurología, Clínica Puerta de Hierro, Madrid.
Moreno
P
P
Corral
F
F
Zabala
J A
JA
Ricart
C
C
D001777:Blood Coagulation / Q000502:physiology*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging*; D006406:Hematoma / Q000000981:diagnostic imaging*; D006801:Humans; D002546:Ischemic Attack, Transient / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011699:Putamen / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
Hemorragia intracerebral con nivel líquido. A propósito de un caso sin alteración de la coagulación.