94-year-old female:
– Lower consciousness. E1M3V2
– CT brain: Ischemia? Bleeding? Malignancy?
What do you see?
Complete hypodense right hemisphere with no grey-white matter differentiation possible indicative of ischemia. Large mass effect with subfalcine herniation (midline shift), uncal, and transtentorial herniation. Obliteration basal cisternsOld infarct left frontal and global cortical atrophy
Dx: Malignant medial artery infarction
Coincidental finding: Bilateral course calcifications in basal ganglia and dentate nuclei
Dx: M. Fahr: striato pallido dentate calcinosis