Frontal lobe hematoma

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Alcohol dependent. Advanced liver disease. No trauma.

Patient Data

Age: 55 years
ct

Large right frontal lobe hemorrhage with marked mass effect with extension into the right frontal horn which is displaced across the midline.

Small left frontal lobe hemorrhage.

Case Discussion

This patient had end stage liver disease with a coagulopathic state.

Large lobar hemorrhages can occur in this subtype of patient without any trauma.

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