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Hodler J, Kubik-Huch RA, von Schulthess GK, editors. Diseases of the Brain, Head and Neck, Spine 2020–2023: Diagnostic Imaging [Internet]. Cham (CH): Springer; 2020. doi: 10.1007/978-3-030-38490-6_14

Cover of Diseases of the Brain, Head and Neck, Spine 2020–2023

Diseases of the Brain, Head and Neck, Spine 2020–2023: Diagnostic Imaging [Internet].

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Fig. 14.2. In this 17-year old boy presenting acutely with ictal headache, vomiting, and bradycardia, axial CT (a) shows fresh hematoma involving the left parietal lobe with contralateral midline shift and intraventricular blood at the foramen of Monro.

Fig. 14.2

In this 17-year old boy presenting acutely with ictal headache, vomiting, and bradycardia, axial CT (a) shows fresh hematoma involving the left parietal lobe with contralateral midline shift and intraventricular blood at the foramen of Monro. CT angiography (b) did not reveal abnormal vessels. MRI performed after 12 hours confirms a large intraaxial bleed which is grossly isointense with gray matter on T1-weighted MRI (c) and hyperintense on T2-weighted MRI (d), consistent with a hyperacute hematoma (prevailing oxyhemoglobin)

From: Chapter 14, Children with Acute Neurological Emergency

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