PMC4096460_01
A 15x9 mm area of hemorrhage with surrounding vasogenic edema in the left anterior middle frontal gyrus. No midline shift, hydrocephalus, mass lesion, or cerebral herniation.
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Computed tomography (CT) of the brain showed intraparenchymal hemorrhage in the anterior aspect of the left frontal lobe (Figure 1).
Mild interval increase in the number of petechial cortical hemorrhages noted within bilateral frontal cerebral convexities, left occipital lobe, cerebellum, and vermis. A subacute left frontal parenchymal hemorrhage of 4.9 cm, with associated edema; mass effect resulting in 9-mm rightward midline shift and small subfalcine herniation.
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After stabilizing the patient, a follow-up MRI of the brain was performed which showed an increase in number of petechial cortical hemorrhages noted within bilateral frontal cerebral convexities, left occipital lobe, cerebellum, and vermis (Figure 2).