Case Images
Case Notes
History
87 yo female with history of atrial fibrillation and chronic hypertension that presented with an acute seizure.Exam
Prior Study
noneDicom
Findings
| Pre contrast head CT | Correct Answer | Your Answer |
|---|---|---|
|
There is evidence of acute diffuse subarachnoid blood (SAH) or there is focal clot near a site of expected saccular aneurysm. |
No | NA |
|
There is evidence of acute intraaxial parenchymal blood. |
Yes | NA |
|
There is evidence of acute intraventricular blood. |
Yes | NA |
|
There is evidence of significant mass effect from the parenchymal hemorrhage. |
No | NA |
|
There is evidence of secondary internal or external obstructive hydrocephalus. |
No | NA |
|
There is evidence of an underlying post ischemic tissue edema in a recognizable arterial perfusion zone (i.e. arterial infarction). |
No | NA |
|
There is evidence of blood products within the sella (hemorrhagic pituitary or ICA aneurysm). |
No | NA |
| Post contrast head CT or CTA | Correct Answer | Your Answer |
|---|---|---|
|
There is evidence of an underlying extraaxial vascular lesion: saccular aneurysm, sacculofusiform aneurysm, dural sinus thrombosis. |
No | NA |
|
There is evidence of an underlying intraaxial mass(es) lesion, as primary vascular brain tumor, metastatic tumor, AVM, cavernous angioma, thrombosed giant aneurysm. |
No | NA |
|
There is evidence of acute thrombus within intracranial veins. |
No | NA |
|
There is evidence of acute thrombus within intracranial arteries. |
No | NA |
|
Other significant imaging findings are present. |
Yes | NA |
Impression
Expert Answer
Hemorrhage into the dentate nucleus is an associated finding in hypertensive bleeds. Hemorrhage into the mid pons is an associated finding in hypertensive bleeds.
