Symptomatic Hemorrhage Transformation of Inner Capsule Infarction
基本信息 Basic Information
女，59岁
59-year-old female
症状：右侧肢体无力
Symptoms: right limbs weakness
既往高血压和卒中史
History of hypertension and stroke
入院NIHSS：3
NIHSS on admission: 3
2019-10-08
△头颅CT平扫：左侧丘脑低密度陈旧病灶
△Cranial CT showed an old lesion with hypo-density in the left thalamus.
2019-10-15
△DWI detected an acute lacunar infarction on the left inner capsule. T1WI, T2WI and SWI images showed an old lesion of hemorrhage (red arrow). SWI found multiple cerebral micro bleeds in the bilateral basal ganglia. Intracranial arteries were normal on 3D-TOF-MRA.
2019-10-16，患者右侧肢体无力加重，NIHSS-8。
On 2019-10-16, this patient's symptom of right limbs weakness worsened and NIHSS was 8.
2019-10-16
△头颅CT平扫：左侧内囊位置出血
△Cranial CT showed an acute hematoma in the left inner capsule.
1、本病例具备脑小血管病多种影像-病理改变，包括：微出血、陈旧性出血（左侧丘脑）、血管周围间隙增大（T2WI/T1WI：双侧基底节区）和急性腔隙性梗死（左侧内囊）。
