PMC2649056_01
Brain CT scan of the patient demonstrates thick clot in the left medial temporal and clot in left middle cerebral artery accompanied by left temporal hypodensity.
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F1
Brain CT was performed on the day after admission which showed thick clot in left medial temporal and parasellar areas, intravascular thrombus in the left middle cerebral artery (Fig 1), diffuse left fronto-temporal hypodensity, and midline shift.
Left carotid angiogram shows normal anatomy of left carotid and middle cerebral arteries.
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F2
Inspite of well known history of CO poisoning and brain CT suggestive of extensive hemorrhagic infarction, DSA angiography was done to exclude gross cerebral abnormalities but it was normal (Fig 2).
A, B: Follow-up CT scan demonstrates severe brain atrophy in previous hypodense area which confirms infracted brain was resolved.
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F3
Follow-up brain CT scan one year later revealed brain atrophy in left fronto-temporal area, which appeared to have been an evidence of resolving in a large hemorrhagic infarct (Fig 3).