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Hyperacute intraparenchymal hematoma

Case contributed by Dr Hidayatullah Hamidi

Presentation

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Patient Data

Age: 25 years
Gender: Male

T1 isointense and T2 hyperintense signal lesion (3.3 x 2 cm) showing central diffusion restriction and peripheral rim of blooming artefact (in T2* GRE sequence) in the right inferior frontal gyrus. FLAIR demonstrates a fluid-fluid level posteriorly.

Mild surrounding vasogenic edema is noted.

The rest of the brain parenchyma is normal.

Case Discussion

The images demonstrate a hyperacute intraparenchymal hemorrhage, but no MRI detectable cause was identified. An underlying vascular malformation (most likely) or tumor are likely to be present (unless there were other systemic illnesses or factors that are currently unknown e.g. malignant hypertension, trauma, drug abuse). 

In any case further assessment with angiography and followup imaging is required. 

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Case information

rID: 72485
Published: 14th Jan 2020
Last edited: 15th Jan 2020
Inclusion in quiz mode: Included

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