Intracerebral hematoma associated with dural sinus diseases is rare. We report seven cases of intracerebral hematoma associated with dural sinus diseases in this paper.
Hemorrhage occurred in three of seven cases with dural sinus occlusion, in three of six cases with dural arteriovenous malformation, and in one of 22 cases with carotid cavernous sinus fistula.
A large intracerebral hematoma was noted in three cases and a small hematoma in four cases. The intracerebral hematomas were classified as multiple (two cases) and solitary (five cases).
In each case, hemorrhage occurred in the vicinity of subcortical, or cortical venous engorgements.
Large intracerebral hematomas with high intracranial pressure, which often occurred in sinus occlusion, showed poor prognosis, but small hematoma, which often occurred in dural arteriovenous malformation, showed good prognosis.