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Single and simultaneous multiple intracerebral hemorrhages: a radiological review

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Abstract

Simultaneous multiple intracerebral hemorrhage (SMICH) is defined as ICH in two or more discrete noncontiguous acute intraparenchymal locations on initial CT. About 5% of ICH patients present with SMICH. ICH/SMICH etiology is classically divided into disorders of primary or secondary origin. About half of primary SMICH cases are caused by cerebral amyloid angiopathy or hypertensive arteriopathy. In this review, we will discuss the radiological features associated with the different causes of primary and secondary ICH and SMICH. Due to its rarity and the associated high morbidity and mortality, we will focus in particular on SMICH.

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Acknowledgements

We would like to thank Dr. Sarah Kabani (Service de Biostatistique, Epidémiologie Clinique, Santé Publique et Innovation en Méthodologie (BESPIM), CHU de Nîmes, 4 Rue du Professeur Debré, 30029 Nîmes Cedex 09) for proofreading our manuscript.

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Authors and Affiliations

  1. Department of Neurology, CHU Nîmes, Hôpital Caremeau, University of Montpellier, 4, Rue Du Pr Debré, 30029, Nîmes Cedex 4, France

    Dimitri Renard, Giovanni Castelnovo, Ioana Ion, Jean Sebastien Guillamo & Eric Thouvenot

  2. Institut de Génomique Fonctionnelle, UMR 5203, INSERM 1191, Université Montpellier, Montpellier, France

    Eric Thouvenot

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  1. Dimitri Renard
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  2. Giovanni Castelnovo
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  3. Ioana Ion
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  4. Jean Sebastien Guillamo
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Correspondence to Dimitri Renard.

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Renard, D., Castelnovo, G., Ion, I. et al. Single and simultaneous multiple intracerebral hemorrhages: a radiological review. Acta Neurol Belg 120, 819–829 (2020). https://doi.org/10.1007/s13760-020-01385-4

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  • DOI: https://doi.org/10.1007/s13760-020-01385-4

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