Clinical findings will clearly substantiate misdiagnosis in under-resourced conditions
Clinical findings will clearly substantiate misdiagnosis in under-resourced conditions
Axial sections of the brain were obtained with standard CT protocol in a 32-years-old female . There is a well-defined haemorrhagic density ( 64HU ) lesion in the right lentiform nucleus measuring approximately 6 ml in volume . It has a thin rim of hypodensity surrounding it ( Figure 3A ). In a 63-year-old female , findings show a hypodense area involving predominantly the left frontal lobe with slight involvement of the parietal area ( Figure 3B ). In a 65-year-old male , a well-defined hypodense lesion predominantly in the left side basal nuclei with involvement of the ipsilateral thalamus ( Figure 3C ).
In a 70-years-old female , there is hypodensity involving the right insular cortex , extreme capsule , claustrum , and external capsule with loss of gray-white matter differentiation ( Figure 3D ). In a 70-yearold male , there is a left parietal ill-defined , hypodense hyperdense foci with significant sub-adjacent white matter hypodensity ( Figure 3E ). In an 85-years-old female left-sided frontal , temporal , lentiform nucleus , internal capsule ( posterior limb ) and insular regions confluent hypodensity resulting in partial effacement of the left lateral ventricle ( Figure 3F ).
Figure 3 . Axial section sample patient CT images with ischemic and haemorrhagic stroke . A ) right basal nuclei acute hematoma ; B ) left frontoparietal subacute infarct ( middle cerebral artery ( MCA ) territory ); C ) left basal nuclei and thalamic acute haemorrhage ; D ) right insular cortex , extreme capsule , claustrum , and external capsule ( MCA territory ) acute infarct ; E ) left parietal lobe intraparenchymal haemorrhage and left frontal and parietal subdural hematoma ; F ) age-related cortical atrophy ( features are consistent with a left MCA territory acute ischemic infarct ).