Annotated image
shows chronic sta...
Axial NECT obtained five weeks after infarct
shows chronic state of right MCA infarct with resolving edema and petechial hemorrhage, decreased transcalvarial herniation (yellow arrow) and secondary dilatation of right lateral ventricle. Note interval development of lobar hemorrhage (red arrow) in right parietal lobe, most probably due to mass-effect on craniectomy site (parietal bone edge).
Modality: Annotated image (Axial NECT obtained five weeks after infarct)

- “ Case key points: the rare and potentially fatal complication of decompressive hemicraniectomy, paradoxical brain herniation, requires early recog...”

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