Subacute haemorrhagic stroke (enhancing)

Case contributed by A.Prof Frank Gaillard

Presentation

This patient is from a nursing home. Right sided weakness developed rapidly a few weeks ago. Non contrast CT demonstrated low density region.

Patient Data

Age: 70 years
Gender: Female
CT

CT brain

A region of irregular peripheral enhancement involves the left lentiform nucleus and internal capsule. 

MRI

MRI brain

MRI of the brain demonstrates the lesion to have signal consistent with blood (high T1 and T2 centrally, peripheral hemosiderin).

MRI

MRI brain (months later)

The corticospinal tracts on the left demonstrates high T2 signal in the left cerebral peduncle with reduced volume. 

Case Discussion

This case demonstrates how vividly a resolving haematoma can enhance. 

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Case information

rID: 4978
Case created: 12th Nov 2008
Last edited: 26th Jul 2017
Inclusion in quiz mode: Included

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