Coagulopathy related intracerebral haemorrhage
The patient has suffering from malaria complicated by DIC and presented with unconsciousness.
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There are multiple well defined discrete areas of blood attenuation are seen in the bilateral supratentorial brain parenchyma suggestive of intracranial intraparenchymal haemorrhage.
Basal ganglia, posterior fossa structures, ventricular system and basal cisterns are unremarkable.
Impression: Multiple descrete bilateral supratentorial intraparenchymal cerebral haemorrhage.
Imaging features in most coagulopathies are similar. Although bleeding can occur at any location, the most common site in these patients is supratentorial and intraparenchymal1.
- Uglietta JP, O'Connor CM, Boyko OB et-al. CT patterns of intracranial hemorrhage complicating thrombolytic therapy for acute myocardial infarction. Radiology. 1991;181 (2): 555-9. Pubmed citation
- Osborn AG. Diagnostic neuroradiology. Mosby. ISBN:0801674867. Read it at Google Books - Find it at Amazon