Isolated Central Sulcus Hemorrhage: A Rare Presentation Most Frequently Associated with Cerebral Amyloid Angiopathy

Figure 5

Third case of isolated central sulcus hemorrhage. Gradient echo MR images in a 50-year-old female with history of renal transplant and presenting with left leg weakness demonstrated signal loss within the left central sulcus consistent with an isolated hemorrhage. Associated nonspecific white matter changes were also seen. Angiographic work up was without any evidence of aneurysms or vascular malformations. Although the age of the patient and absence of other areas of chronic hemorrhage on MR imaging make this an atypical presentation, findings of an isolated central sulcus hemorrhage in a normotensive patient without other etiologies accounting for that hemorrhage would suggest a possible diagnosis of CAA.