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DWI-Positive Lesions in Acute Intracerebral Hemorrhage: Insights into Cerebral Small Vessel Disease and Prognosis

MedXY Editorial Team•Aug 15, 2026•Neurology
functional outcomeDiffusion-weighted imagingcerebral small vessel diseaseIntracerebral Hemorrhagecerebral small vessel disease

Highlight

Diffusion-weighted imaging (DWI)-positive lesions are common in acute intracerebral hemorrhage (ICH) patients and independently associate with markers of cerebral small vessel disease (cSVD) and poor 6-month functional outcomes. The anatomical distribution of these lesions differs between cerebral amyloid angiopathy (CAA) and non-CAA subtypes. Larger hematoma volume and severe white matter hyperintensities (WMH) correlate with the presence of DWI-positive lesions.

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