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Hyperacute cerebral hematoma

Case contributed by Dr Ammar Haouimi


Sudden onset of aphasia and right hemiplegia in a healthy patient.

Patient Data

Age: 10 years
Gender: Male

The MRI sequences demonstrate an intra-axial lesion of the left frontoinsular region, isointense centrally on T1WI, hyperintense on FLAIR and T2WI, with a peripheral component hypointense on T1WI, and FLAIR, and hyperintense on T2WI, surrounded by subtle edema.

The DWI shows high signal centrally with low ADC (restricted diffusion) and low signal peripherally with high ADC, due to a reduction in the extracellular space and increased viscosity.

No evidence of arteriovenous malformation (AVM) or aneurysm.


Non-enhanced CT was done after the MRI exam. It demonstrates a spontaneously hyperdense hematoma with mild peripheral edema.

Case Discussion

A case of hyperacute cerebral hematoma (<24 hours).

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Case information

rID: 66507
Published: 10th Apr 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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