Presentation
Presented with reduced GCS.
Patient Data
Age: 2 months
Gender: Male
From the case:
Basal ganglia and parenchymal ischemia
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The caudate head is hypodense - it's the same density of the white matter. Subtle, but definite increased attenuation in the right occipital horn consistent with hemorrhage.
From the case:
Basal ganglia and parenchymal ischemia
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Bilateral abnormal signal thoughout the basal ganglia. Bilateral posterior cortical thickening and T2 hyperintensity married with diffusion restriction. SWI signal dropout in the occipital horns highlights ventricular hemorrhage.
Case Discussion
CT changes in infant brains can be very subtle. Check areas must include the basal ganglia (specifically the caudate head) and the occipital horns (looking for blood).
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