Hemorrhagic infarct vs intracerebral hemorrhage

Last revised by Dr Maxime St-Amant on 18 Feb 2018

Hemorrhagic infarct or hemorrhagic transformation of an infarct is seen following breakdown of the lamina of the microvessels.

Intracerebral hemorrhage (ICH) may overlap with a hemorrhagic infarct and hence needs to be differentiated as the line of treatment will vary.

Differentiating points
Hemorrhagic infarct
  • areas of infarct remote from the site of hemorrhagic infarct
  • on perfusion imaging, the center of the hematoma corresponds to highest risk of infarction
  • evidence of occlusive disease on TOF imaging
Intracerebral hemorrhage
  • on perfusion imaging, the region of the deficit does not extend beyond the region of infarct

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