Enhancing subacute haemorrhagic stroke

Case contributed by A.Prof Frank Gaillard

Presentation

This patient is from a nursing home. Right sided weakness developed rapidly a few weeks ago. Non contrast CT demonstrated low density region.

Patient Data

Age: 70 years
Gender: Female

CT brain

Modality: CT

A region of irregular peripheral enhancement involves the left lentiform nucleus and internal capsule. 

MRI brain

Modality: MRI

MRI of the brain demonstrates the lesion to have signal consistent with blood (high T1 and T2 centrally, peripheral hemosiderin).

MRI brain (months later)

Modality: MRI

The corticospinal tracts on the left demonstrates high T2 signal in the left cerebral peduncle with reduced volume. 

Case Discussion

This case demonstrates how vividly a resolving haematoma can enhance. 

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Case Information

rID: 4978
Case created: 12th Nov 2008
Last edited: 7th Dec 2015
Inclusion in quiz mode: Included

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