Intracranial haemorrhage

Case contributed by Dr David Cuete

Presentation

Sudden loss of consciousness

Patient Data

Age: 75
Gender: Female
CT

CT brain

CT shows a large hyperdense lesion in the left temporal lobre with signs of subarachnoid hemorrahage. Significant mass effect and midline shift. Posterior fossa unaltered

Case Discussion

This case shows a large intracranial hemorrhage. The patient died few hours later.

Although no aneurysm is visible on this non-contrast study, a left middle cerebral artery aneurysm is the most likely cause of this pattern of haemorrhage. The aneurysm dome can be adherent to brain (perhaps due to prior 'leaks') and when it rupturs some blood squirts directly into parenchyma. 

Other causes are of course possible (lobar haemorrhage, tumour, other vascular malformation). 

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Case information

rID: 22907
Case created: 3rd May 2013
Last edited: 15th Dec 2015
Inclusion in quiz mode: Included

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