Intracranial hemorrhage

Case contributed by Dr David Cuete


Sudden loss of consciousness

Patient Data

Age: 75
Gender: Female

CT brain

CT shows a large hyperdense lesion in the left temporal lobe with signs of subarachnoid haemorrahage. Significant mass effect and midline shift. Posterior fossa unaltered

Case Discussion

This case shows a large intracranial hemorrhage. The patient died few hours later.

Although no aneurysm is visible on this non-contrast study, a left middle cerebral artery aneurysm is the most likely cause of this pattern of hemorrhage. The aneurysm dome can be adherent to brain (perhaps due to prior 'leaks') and when it rupturs some blood squirts directly into parenchyma. 

Other causes are of course possible (lobar hemorrhage, tumor, other vascular malformation). 

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Case information

rID: 22907
Published: 3rd May 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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