Haemorrhagic infarct vs intracerebral haemorrhage
Dr Aditya Shetty ◉ et al.
Haemorrhagic infarct or haemorrhagic transformation of an infarct is seen to occur secondary to the breakdown of the lamina of the microvessels.
Intracerebral haemorrhage (ICH) may overlap with a haemorrhagic infarct and hence needs to be differentiated as the line of treatment will vary.
Differentiating points
Haemorrhagic infarct
- areas of infarct remote from the site of haemorrhagic infarct
- on perfusion imaging, the centre of the haematoma corresponds to highest risk of infarction
- evidence of occlusive disease on TOF imaging
Intracerebral haemorrhage
- on perfusion imaging, the region of the deficit does not extend beyond the region of infarct
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