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  Vol. 61 No. 11, November 2004 TABLE OF CONTENTS
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  Images in Neurology
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 •Radiologic Imaging
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 •Stroke
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Ring Enhancement After Hemorrhagic Stroke

Arch Neurol. 2004;61:1790.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 65-year-old woman experienced an acute onset of expressive dysphasia 48 hours after a left carotid endarterectomy. A computed tomographic (CT) head scan revealed a 35-cm3left frontal hematoma (Figure, A). The patient improved with conservative management. A CT scan performed 9 weeks later demonstrated hypodensity with ring enhancement postcontrast (Figure, B and C). Subsequent magnetic resonance imaging findings of negative mass effect and uniform hemosiderin staining weighed against an associated tumor or abscess1 (Figure, D).


 
Figure appears in full text version.
Figure. A, Initial computed tomographic scan demonstrating left frontal hematoma. Precontrast (B) and postcontrast computed tomographic scan (C) 9 weeks later showing a ring-enhancing lesion. D, T2 magnetic resonance image demonstrating negative mass effect.


Contrast enhancement in a ring pattern may appear within 1 week and persist for 6 months after a hemorrhagic stroke,2 mimicking the appearance of a tumor or an abscess. Magnetic resonance imaging noninvasively provides . . . [Full Text of this Article]

AUTHOR INFORMATION

A. A. Wong, MBBS; R. D. Henderson, MBBS, FRACP; J. D. O'Sullivan, MBBS, MD, FRACP; S. J. Read, MBBS, PhD, FRACP; T. Rajah, MBChB, FRACR







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