Abstract: <b<Objective:</b< To improve the cognition of the atypical intracerebral hematoma. <b<Methods:</b< The CT features in a case of AVM combined with intracerebral hematoma proved by operation and pathologic examination were analyzed in details. <b<Results:</b< A analogous round mass with high density was surrounded with edema zone in the right temporal lobe. Both the mass and the edema zone were no enhancement. <b<Conclusion:</b< A high density mass without enhancement and the history of trauma was mostly AVM conbined with hematoma in the brain.