Case Reports and Reviews: Open Access

Lobar Intracerebral Haematomas: A Review

Jacques L. De Reuck

Abstract

The occurrence of lobar intracerebral haematomas is mainly linked to the presence of cerebral amyloid angiiopathy. The clinical presentation depends on the extend and the location of the haematoma. Cerebral amyloid angiopathy frequently occurs in patients with Alzheimer disease. Although the latter is the main cause of cognitive decline leading to dementia also isolated cerebral amyloid angiopathy can have influence on cognition. Magnetic resonance imaging is the most valuable neuroimaging technique as it is able not only to locate the lesions, but also to determine the age of the haematomas. Acute surgical evacuation of the haematoma is still the most used treatment.

Keywords: Lobar intracerebral haematoma (LCH); Intracerebral haematoma (ICH); Cerebral amyloid angiopathy (CAA); Alzheimer disease (AD); Magnetic resonance imaging (MRI); Computed tomography (CT).