Differentiating between Hemorrhagic Infarct and Parenchymal Intracerebral Hemorrhage
Figure 9
78-year-old man presented with right hemiparesis and dysphasia. (a) Axial unenhanced CT images 5 hours after stroke show an area of low attenuation in the left lentiform nucleus. (b) Repeated axial unenhanced CT images 3 days later show a parenchymal hematoma within the area of infarct. Stage HI d2 [1]. Even if the initial CT images are not available, the topography of the stroke is suspicious for hemorrhagic infarct. The centre of the hematoma is in the striatocapsular region with the surrounding hypodensity extending superiorly, following the topography of the middle cerebral artery.
