Intracranial haemorrhage

Presentation

The patient presented with a deteriorated conscious level and confusion.

Patient Data

Age: 40 year old
Gender: Male
Modality: CT

Multiple hemorrhagic lesions involving the corpus callosum and cerebral white matter bilaterally with intraventricular extension. Linear hyperdensities smearing the dural reflections and interpeduncular cistern are suggestive of subarachnoid haemorrhage.

Case Discussion

In view of the clinical history, peripheral blood picture and bone marrow aspiration from the right iliac crest, this patient was diagnosed with acute promyelocytic leukemia. This disease can present with massive intracranial hemorrhage because of associated thrombocytopenia and treatment induced disseminated intravascular coagulopathy.

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Case Information

rID: 45717
Case created: 5th Jun 2016
Last edited: 4th Sep 2016
Inclusion in quiz mode: Included

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