Focal laminar cortical MR signal abnormalities after subarachnoid hemorrhage.

Dreier, Jens P; Sakowitz, Oliver W; Harder, Anja; Zimmer, Claus; Dirnagl, Ulrich; Valdueza, José M; Unterberg, Andreas W · Ann Neurol · 2002

case_report · Level V

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Abstract

In the autopsy studies of patients with delayed ischemic neurological deficits after subarachnoid hemorrhage, a predominance of cortical lesions has been observed. Similar to the autopsy descriptions in the literature, we present magnetic resonance images visualizing focal laminar cortical lesions around a fissure or sulcus in two patients, who initially did not undergo surgery, with delayed ischemic neurological deficits. This magnetic resonance imaging pattern may provide a clue to the diagnosis if the patient does not present to the emergency room with the acute hemorrhage but with delayed ischemic neurological deficits.

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