0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Images in Neurology |

Magnetic Resonance Imaging Characteristics at Onset of Spontaneous Intracerebral Hemorrhage

Daniel Jeong, MD; Miral D. Jhaveri, MD; Shyam Prabhakaran, MD, MS
Arch Neurol. 2011;68(6):826-827. doi:10.1001/archneurol.2011.109.
Text Size: A A A
Published online

Extract

A 70-year-old woman presented to our institution for a routine follow-up magnetic resonance imaging (MRI) examination to evaluate a previously coiled posterior communicating artery aneurysm. At the beginning of the MRI examination, the patient was asymptomatic. Within the scanner, the patient developed altered sensorium and right-sided weakness.

The MRI examination began with a sagittal T1-weighted sequence (Figure 1A, with a time of 19 hours and 14 minutes) that did not show any abnormality. Subsequent imaging sequences demonstrated hyperacute evolution of spontaneous intracerebral hemorrhage from its onset. An axial T2-weighted sequence (Figure 1B [time, 19 hours and 16 minutes]) demonstrates subtle hyperintensity in the left putamen. Axial fluid-attenuated inversion recovery (Figure 1C [time, 19 hours and 33 minutes]) and gradient echo (Figure 1D [time, 19 hours and 37 minutes]) sequences show a rapid increase in the size of the hyperintensity in the left putamen due to a hyperacute hemorrhage expansion. Postcontrast axial T1-weighted (Figure 1E [time, 19 hours and 48 minutes]) and sagittal T1-weighted (Figure 1F [time, 19 hours and 51 minutes]) scans demonstrate active extravasation of gadolinium and enlarging hyperacute hematoma.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure 2.

Noncontrast computed tomography of the brain of the 70-year-old woman, performed within an hour after the final magnetic resonance sequence confirmed the presence of a left putamen hemorrhage (white arrow).

Graphic Jump Location
Place holder to copy figure label and caption
Figure 1.

Timed sequences on 1.5-T magnetic resonance imaging showing the evolution of intracerebral hemorrhage (white arrows). A, Sagittal T1-weighted scan (19 hours and 14 minutes) shows no definite abnormality in the region of the left putamen. The axial T2-weighted (B [19 hours and 16 minutes]), fluid-attenuated inversion recovery (C [19 hours and 33 minutes]), and gradient echo (D [19 hours and 37 minutes]) scans show a gradually increasing hyperintense signal. Axial (E [19 hours and 48 minutes]) and sagittal (F [19 hours and 51 minutes]) postcontrast T1-weighted scans demonstrate active extravasation of contrast.

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

124 Views
6 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: Does This Patient Have a Torn Meniscus or Ligament of the Knee?

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis

brightcove.createExperiences();