Concluded Case

Hyperacute Intrapardnchymal hematoma Rt thalamus with mass effect

71yr,M, Presented with left sided weakness of acute onset about 10 days ago .He also has numbness of left side. For the above complaint he was admitted and evaluated at the local hospital but no relief in the left sided numbness. He denied having any head ache / vertigo / vomiting. Known hypertensive20yrs .Not taking any medicine other than telmisartan and Cilacar. Non smoker,not in the habit of taking ethanol. On exam BP 150/ 90 mmhg. Mold facial asymmetry left side.Partial ptosis rt side.Gr3/ 5 power left side with ,with spasticity and left sided pyramidal signs.He has dulling of all modalities of sensation left half of the body.No bruit over the carotids/ vertebrals. What abnormality I the MRI brain ?

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Concluded answer

Thanks Curofy and other doctors. Discussion what abnormality in the MRI brain. MRI brain shows well defind round T2/ FLAIR hyperintensity,isointense to T1w images at the region of thalamus extending to posterior limb of internal capsule,and rt periventricular frontal coronaradiata causing mass effect in the form of mild effacement of body & atrium of rt lateral ventricle. Mild perilesional edema noted. Imp - Hyperacute intraparenchymal hematoma Rt thalamus.

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Thanks Curofy and other doctors. Discussion what abnormality in the MRI brain. MRI brain shows well defind round T2/ FLAIR hyperintensity,isointense to T1w images at the region of thalamus extending to posterior limb of internal capsule,and rt periventricular frontal coronaradiata causing mass effect in the form of mild effacement of body & atrium of rt lateral ventricle. Mild perilesional edema noted. Imp - Hyperacute intraparenchymal hematoma Rt thalamus.

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Ischemic stroke rt thalamic region Cerebral oedema Hydrocephalus follow up mri Opinion of neurologist So left sided effect Midline shift to left

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Film show tumor or hemmeroghic infarct N treat accordingly

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no contrast MRI.. it could be a bleed, tumor with a bleed

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Subacute rt basal ganglia hemorrhage

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