Lobar and subdural hemorrhage

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Patient with Alzheimer's disease, fever and lowered level of consciousness.

Patient Data

Age: 82
Gender: Male

CT BRAIN

ct

Hemorrhagic focus in the right frontal lobe, flanked by edema of the adjacent parenchyma. Extension of bleeding for the subdural space along the right cerebral hemisphere, cerebellum tent and space interhemispheric.

Case Discussion

Large frontal lobar hemorrhage extending into the subdural space. In an elderly patient this is most likely due to cerebral amyloid angiopathy rather than an underlying lesion, however no further exams were available. 

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