Lobar hemorrhage

Case contributed by Peter Mitchell
Diagnosis certain

Patient Data

Age: 80 years
Gender: Male
ct

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

There is a small amount of vasogenic edema surrounding the hematomas, 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 hemorrhage, presumably secondary to amyloid angiopathy.

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