Review Article

Differentiating between Hemorrhagic Infarct and Parenchymal Intracerebral Hemorrhage

Figure 12

60-year-old man presented with dysphasia and confusion for 2 days. (a) Axial unenhanced CT images show a left frontal hematoma with surrounding hypodensity spreading from the centre, reaching superiorly and out to the cortical surface. The shape and topography of the lesion suggest that the primary event is an infarct, with secondary hemorrhagic transformation. Stage HI c2 [1]. (b) Axial diffusion weight MR images show 2 small discrete lesions within the left parietal and temporal lobes, suggesting concurrent infarcts in the same arterial territory. This further supports that the initial lesion is a hemorrhagic infarct, probably embolic in nature.
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(a)
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(b)