Presentation
Diabetic and hypertensive with right sided hemiplegia for a week.
Patient Data
Age: 55 years
Gender: Female
From the case:
Cerebral subacute hemorrhagic infarction
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- a large left temporo-occipital, left insular and basal ganglia as well as fronto-parietal cortical and subcortical patchy areas of restricted diffusion are seen demonstrating high DWI and low ADC signal. They demonstrate high T2 / FLAIR signal, as well as subtle hypointense T1 with patchy T1 hyperintensities and GRE blooming in the left basal ganglia and temporo-occipital region; denoting met Hb signal of hemorrhagic transformation. Mild mass effect is seen on the left lateral ventricle by the cytotoxic edema.
- mild dilatation of the ventricular system.
- bilateral cerebral deep white matter as well as bilateral basal ganglia and pontine demyelinating foci with high T2 / FLAIR signal are seen; likely ischemic.
- widened extra-axial CSF spaces.
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Case Discussion
- large left temporo-occipital and fronto-parietal subacute hemorrhagic infarction.
- mild atrophic brain changes with peri-ventricular arterio-sclerotic leucoencephalopathy, as well as small deep white matter, basal ganglia and pontine chronic small vessel disease.
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