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Radiology Research and Practice
Volume 2012, Article ID 475497, 11 pages
Review Article

Differentiating between Hemorrhagic Infarct and Parenchymal Intracerebral Hemorrhage

1Stroke and Ageing Research Group, Neurosciences Program, Southern Clinical School, Monash Medical Centre, Monash University, Level 5, Block E, 246 Clayton Road, Clayton, Melbourne, VIC 3168, Australia
2Department of Diagnostic Radiology, Monash Medical Centre, Southern Health, 246 Clayton Road, Clayton, Melbourne, VIC 3168, Australia

Received 17 July 2011; Revised 11 November 2011; Accepted 8 December 2011

Academic Editor: David Maintz

Copyright © 2012 P. M. C. Choi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Differentiating hemorrhagic infarct from parenchymal intracerebral hemorrhage can be difficult. The immediate and long-term management of the two conditions are different and hence the importance of accurate diagnosis. Using a series of intracerebral hemorrhage cases presented to our stroke unit, we aim to highlight the clues that may be helpful in distinguishing the two entities. The main clue to the presence of hemorrhagic infarct on computed tomography scan is the topographic distribution of the stroke. Additional imaging modalities such as computed tomography angiogram, perfusion, and magnetic resonance imaging may provide additional information in differentiating hemorrhagic infarct from primary hemorrhages.