PMC9813502_01
Imaging findings. (a, b) Cranial CT and cranial MRA show an intracerebral hemorrhage in the right basal ganglia and in bilateral lateral ventricles.
fneur-13-1038201-g0001.jpg
PMC9813502_01_fneur-13-1038201-g0001.jpg
F1
CT (Figure 1a) and MRA (Figure 1b) revealed that an intracerebral hemorrhage in the right basal ganglia had broken into bilateral lateral ventricles.
Ultrasound of neck vessels. (a) Ultrasound of the right common carotid artery showed a diameter of 0.78 cm and an intima-media thickness of 0.10 cm. (b) Left common carotid artery ultrasound showed a diameter of 0.75 cm, an intima-media thickness of 0.10 cm, and a hypoechoic flat plaque (2.00 x 0.37 cm) on the distal posterior wall.
fneur-13-1038201-g0002.jpg
PMC9813502_01_fneur-13-1038201-g0002.jpg
F2
Ultrasonography of cervical vessels revealed bilateral carotid medial thickening with plaque formation (Figures 2a,b).
Imaging findings after treatments. (A, B) Images of a cranial CT after implantation of a drainage tube (red circle) though drilling in bilateral lateral ventricle and in the right basal ganglia. (C) CT after removing the drainage tube showed normal bilateral lateral ventricles and a cavity in right basal ganglia.
fneur-13-1038201-g0003.jpg
PMC9813502_01_fneur-13-1038201-g0003.jpg
F3
Along the line connecting the external auditory canals on both sides, toward the tip of the nose, the cranial cone was inserted into the brain for 2.5 cm, and then the cannula was inserted into the brain for 6.5 cm (Figure 3A). Toward the center of the hematoma, the cranial cone was inserted 2.5 cm into the brain, and then the cannula was inserted into the brain 6.5 cm (Figure 3B). After about 7 days of treatment, the patient's symptoms were significantly relieved, and head CT showed that the hematoma disappeared, and the drainage tube was subsequently removed (Figure 3C).
Timeline. T, temperature; BP, blood pressure; CT, computed tomography; MRA, magnetic resonance angiography.
fneur-13-1038201-g0004.jpg
PMC9813502_01_fneur-13-1038201-g0004.jpg
F4
After follow-up by telephone for 6 months, the patient had no symptoms related to intracerebral hemorrhage or brucellosis (Figure 4).