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Active bleeding in hypertensive intracerebral hemorrhage

Computed tomography

Department of Neurology (Drs. Kelley, Berger, and Scheinberg) and Radiology (Dr. Stokes), University of Miami Medical Center, Miami, FL.

Four patients with spontaneous intracerebral hemorrhage were observed to have evidence of active bleeding when CT was performed within 6 hours of onset. All four patients had elevated blood pressure on admission and long-standing, untreated essential hypertension. Three hemorrhages were thalamic, and one was in the basal ganglia.

Address correspondence and reprint requests to Dr. Berger, Department of Neurology, University of Miami Medical Center, P.O. Box 016960, Miami, FL 33101.

Accepted for publication December 10, 1981.

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