PMC5857315_01
CT brain showing increased hyperdensity and enhancement of right cortex.
CRIM2018-9278526.001.jpg
PMC5857315_01_CRIM2018-9278526.001.jpg
fig1
CT of the brain without contrast was performed revealing an abnormal hyperdensity and extensive enhancement of the right cortex, subarachnoid space, and basal ganglia (Figures 1 and 2). CSF fluid analysis was not performed.
Measurement of Hounsfield units (HU) which differentiate blood (30-45 HU) from contrast material (80-160). It shows a mean of 64 HU.
CRIM2018-9278526.002.jpg
PMC5857315_01_CRIM2018-9278526.002.jpg
fig2
CT of the brain without contrast was performed revealing an abnormal hyperdensity and extensive enhancement of the right cortex, subarachnoid space, and basal ganglia (Figures 1 and 2). CSF fluid analysis was not performed.
CT of the brain on POD one showed decreased hyperintensity on the right side of the cortex compared to the CT of the brain immediately post-op (Figure 1).
CRIM2018-9278526.003.jpg
PMC5857315_01_CRIM2018-9278526.003.jpg
fig3
CT of the brain 24 hours later (Figure 3) showed decreased enhancement on the right side of the brain compared to initial CT scan.
MRI with DWI showing diffuse involvement of the frontoparietal region.
CRIM2018-9278526.004.jpg
PMC5857315_01_CRIM2018-9278526.004.jpg
fig4
Some asymmetry on the FLAIR imaging and the diffusion-weighted sequence that was fairly diffuse involving the cortex especially over the frontoparietal region was noted (Figure 4).