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
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
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.
Right cerebral lobar hemorrhage 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.