CT and MRI in acute hemorrhagic stroke.
We report the case of a woman presenting with an acute onset of hemiplegia. MRI was performed and showed a hyperintense mass on diffusion-weighted imaging, with areas of high signal intensity on T2* imaging and T2/PD imaging. T1-weighted imaging showed a more inhomogeneous lesion with a central isointense part corresponding to the acute clot, as well as a peripheral crescent of hypointense plasma; since another mass lesion could not be acutely excluded, computed tomography was performed immediately afterwards, showing a hyperdense hematoma. The patient was taken to the neurosurgical operating theater, where she underwent decompressive craniotomy and evacuation of the hematoma.
El-Koussy
M
M
Department of Neuroradiology, Inselspital, Bern, Switzerland.
Guzman
R
R
Bassetti
C
C
Stepper
F
F
Barth
A
A
Lövblad
K O
KO
Schroth
G
G
D000208:Acute Disease; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D020521:Stroke / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed