Cortical laminar necrosis

Case contributed by Dr Abdallah Al Khateeb


Previous CT confirmed hemorrhagic stroke. Developed another stroke thereafter.

Patient Data

Age: 60 years
Gender: Female

Admission CT.

This is the first CT for the patient which shows a focus of ICH centered at the right basal ganglia, with extension into the ventricular system. Also, areas of hypodensity of different temporality at the right posterior parietal and the left deep white matter.


Day 5 CT.

Areas of hyperdensity that follow the cerebral cortex layer at both MCA territories (gyriform), more conspicuous at the right insula, with diffuse parenchymal hypodensity indicating bilateral MCA infarcts.

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Case information

rID: 44243
Published: 13th Apr 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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