Cerebral tumour haemorrhage

Case contributed by Townsville radiology training

Presentation

Metastatic melanoma of brain, and calvarium presents with fever, confusion and decreased GCS.

Patient Data

Age: 60
Gender: Male
CT

Hyperdense focus 8 x 16 mm consistent with acute haemorrahge in right temporal metastasis. Significant vasogenic oedema in right parietotemporal region with effacement of sulci, lateral ventricle and midline shift of 7mm.

Uncal herniation with midbrain shift to left and asymmetry of quadrigeminal cistern.

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Case information

rID: 19342
Case created: 30th Aug 2012
Last edited: 23rd Sep 2015
Inclusion in quiz mode: Included

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