File:Cerebral dural arteriovenous fistula (DAVF) with intracerebral hemorrhage (Radiopaedia 44811-48638 3D VRT 10).png

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Cerebral_dural_arteriovenous_fistula_(DAVF)_with_intracerebral_hemorrhage_(Radiopaedia_44811-48638_3D_VRT_10).png ‎(512 × 512 pixels, file size: 177 KB, MIME type: image/png)

Summary:

Description
  • Radiopaedia case ID: 44811
  • Image ID: 22015252
  • Image stack position: 10/38
  • Aux modality: VRT
  • Modality: CT
  • System: Central Nervous System
  • Findings: There is a large (45 mm) acute hematoma in the region of the left insula/ basal ganglia extending superiorly into the left frontal white matter. Inferiorly the hematoma is in close proximity to the MCA trifurcation. No unequivocal aneurysm can, however, be identified on the non-contrast CT. Intraventricular extension is evident into the left lateral ventricle. There is mass effect with effacement of the of the lateral left lateral ventricle and 3 mm midline shift to the left. There is also a early effacement of the basal cisterns. No other focal cerebral lesions. The contents of the posterior fossa appear normal. No osseous abnormality within the skull base or calvarium. CONCLUSION: Large acute hemorrhage within the left basal ganglia/insula tracking superiorly into the frontal white matter. There is moderately severe mass effect with midline shift and early effacement of the basal cisterns. Clearly in a patient of this age an underlying vascular malformation or aneurysm are highly likely and dedicated intracranial vascular imaging will be required.
Date Published: 13th May 2016
Source https://radiopaedia.org/cases/cerebral-dural-arteriovenous-fistula-davf-with-intracerebral-haemorrhage
Author Peter Mitchell
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current10:49, 26 July 2021Thumbnail for version as of 10:49, 26 July 2021512 × 512 (177 KB)Fæ (talk | contribs)Radiopaedia project rID:44811 (batch #6942-10 A10)

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