CT Head
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0575-CT Head
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CA0575-CT Head
Case ReportHistory
Exam
Prior Study
Findings
CT Head
There is thrombosis (acute clot) within the right vein of Trolard located just above the cortical hemorrhage. The hematoma follows the course of the thrombosed vein. The presence of the hemorrhage somewhat masks detection of the thrombosed vein of Trolard.
The intraparenchymal hemorrhage is located adjacent to the undersurface of the thrombosed vein of Trolard but matches the vein course (i.e. it reproduces the cord sign). The hemorrhage produces only modest local mass effect.
In addition to the parenchymal right parietal vertex hemorrhage, there is additional, small volume, subarachnoid hemorrhages evident mainly within the frontal vertex sulci on the left; SAH is less apparent on the right. There is also subarachnoid blood in the suprasellar cistern as well. There is no evidence of hydrocephalus related to the subarachnoid blood.
Impression
2. There is hemorrhagic conversion of the thrombosed vein of Trolard producing local mass effects.
3. There are small volume subarachnoid blood products evident within vertex sulci bilaterally and in both the suprasellar and prepontine cisterns.
