Cingulate gyrus subacute hematoma

Case contributed by Mohamed Abdel-Tawab Mohamed
Diagnosis almost certain

Presentation

Disturbed conscious level

Patient Data

Age: 60 years
Gender: Male
This study is a stack
Axial
FLAIR
This study is a stack
Axial
T1
This study is a stack
Coronal
T1
This study is a stack
Coronal
T2
This study is a stack
Sagittal
T1
This study is a stack
Axial
T1 C+
This study is a stack
Coronal
T1 C+
This study is a stack
Sagittal
T1 C+
This study is a stack
MRA
This study is a stack
MRV
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Info

Left cingulate gyrus abnormality which is hyperintnese on T1, T2/FLAIR with surrounding moderate edema. No post contrast enhancement. Subsequent mild mass effect with compression on the ipsilateral lateral ventricle.

Normal MRA and MRV.

Case Discussion

  • Late subacute hemorrhage is seen in the left cingulate gyrus.
  • Blood stage is late subacute as it exhibits hyperintense signal on T1WI as well as T2WI.
  • The best sequence to localize the site of this hemorrhage is the T1 sagittal plane.
  • Such an atypical location needs further assessment, a post contrast study was done and no enhancing space occupying lesions were found.

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