Post-ictal corpus callosum restricted diffusion

Case contributed by Dr Joseph Scheller

Presentation

Infant status post surgical removal of a large left subdural hematoma.

Patient Data

Age: 1 month
Gender: Female

Areas of diffusion restriction bilateral inferior frontal, left temporal, midline corpus callosum.

Areas of diffusion restriction bilateral inferior frontal, left temporal, frontal and parietal, and throughout the corpus callosum.

Case Discussion

This infant was lethargic and was found to have a large left acute subdural hematoma. A craniectomy was performed due to brain swelling. The first study is done on day 1 postop when the child developed seizures. The child continued to have seizures and the repeat study was done day 4 postop. The corpus callosum diffusion restriction is present as a small focus on the first study and then involves the entire structure on the second study.

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Case information

rID: 57037
Case created: 4th Dec 2017
Last edited: 5th Dec 2017
Inclusion in quiz mode: Included

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