Unusually quick resorption of an intracerebral hemorrhage in congenital afibrinogenemia.
Neuroimaging diagnostics of cerebral hemorrhage in congenitally afibrinogenic patients may be compromised by different pitfalls. We describe the case of a 28-year-old patient with the diagnosis of congenital afibrinogenemia who suffered a large intracerebral hemorrhage. Initial cerebral computed tomography showed typical bleeding, but follow-up cerebral CT scans 1 and 2 weeks later revealed an unusually quick and subtotal resorption of hemorrhage with only a small hypodense lesion within the former bleeding area left. Imaging findings and differential diagnosis are discussed with respect to previous reports about intracerebral hemorrhage in afibrinogenemia.
Bötefür
Ingolf C
IC
Department of Neurology, University Hospital Freiburg, Breisacher Strasse 64, 79106 Freiburg, Germany. botefur@nz.ukl.uni-freiburg.de
Kassubek
Jan
J
Schumacher
Martin
M
D000328:Adult; D000347:Afibrinogenemia / Q000150:complications / Q000151:congenital*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000503:physiopathology; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed