Lobar haemorrhage

Case contributed by Prof Peter Mitchell

Patient Data

Age: 80 years
Gender: Male
CT

There are 2 acute intraparenchymal haematomas demonstrated within the left temporal and occipital lobes. The larger haematoma is within the left temporal lobe. The haematoma attenuates and contacts the left lateral ventricle. There is possibly a small amount of associated intraventricular haemorrhage. The other haematoma is within the left occipital lobe.

There is a small amount of vasogenic oedema surrounding the haematomas, with  associated local mass-effect. There is only minimal midline shift to the right. 

Elsewhere, grey-white matter differentiation elsewhere is preserved. There is prominence of the CSF spaces overlying the frontal lobes, in keeping with involutional change.

No scalp swelling or skull fracture demonstrated to suggest significant head  trauma.

Case Discussion

Fairly typical appearances of a lobar haemorrhage, presumably secondary to amyloid angiopathy.
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Case information

rID: 23299
Case created: 3rd Jun 2013
Last edited: 15th Sep 2015
Inclusion in quiz mode: Included

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