Basal ganglia and parenchymal ischemia

Case contributed by Dr Jeremy Jones


Presented with reduced GCS.

Patient Data

Age: 2 months
Gender: Male

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.

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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Case information

rID: 45818
Published: 10th Jun 2016
Last edited: 14th Aug 2019
System: Paediatrics
Inclusion in quiz mode: Included

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