Adult intracranial haemorrhage on ultrasound

Case contributed by Dr. Dharmesh Shukla

Presentation

Presented with 2 hour history of progressively severe headache with declining consciousness level. On exam, stuporous, right pupil dilated, not moving left upper and lower extremities.

Patient Data

Age: 30
Gender: Male
Modality: Ultrasound

Ultrasound through the left temporal window

Sonosite M Turbo, P21 probe, "Pen" (Penetration mode = Low Frequency), Abdominal Preset

Shows echogenic lesion in the right hemicortex

Modality: CT

Right cerebral lobar haemorrhage with 1 cm midline shift.

Case Discussion

Ultrasound may be useful to identify intracranial hemorrhage (parenchymal), even in adults. This may have applications in resource limited settings and needs to be studied further. 

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Case Information

rID: 36494
Case created: 26th Apr 2015
Last edited: 10th Dec 2015
Inclusion in quiz mode: Excluded

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