Haemorrhagic stroke

Case contributed by Dr Derek Smith

Presentation

Sudden onset dense left hemiparesis and loss of sensation. Previous subarachnoid haemorrhage. In scanner 2 hours from onset of symptoms.

Patient Data

Age: 70 years
Gender: Male
Modality: CT

Right frontoparietal haemorrhage with surrounding oedema.

Mild mass effect with sulcal effacement. Basal cisterns clear with patent fourth ventricle.

Right sided ventricular access device in situ with tip sitting over third ventricle and prior anterior communicating artery aneurysm coil noted. 

Normal venous drainage and no evidence of underlying AVM.

Case Discussion

This is an example of a haemorrhagic stroke.  Although hypertension is a common factor, in these lobar parenchymal haemorrhages, consideration should also be given to amyloid angiopathies.

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Case Information

rID: 34366
Case created: 17th Feb 2015
Last edited: 19th Mar 2017
Inclusion in quiz mode: Included

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