case_images: PMC10759935_01
case_images: Axial non-contrast CT of the head demonstrates a large area of hypoattenuation and loss of gray-white matter differentiation in the left cerebral hemisphere.. The blue arrow shows a large area of hypoattenuation and loss of gray-white matter differentiation in the left cerebral hemisphere.
case_images: cureus-0016-00000051524-i01.jpg
case_images: PMC10759935_01_cureus-0016-00000051524-i01.jpg
case_images: FIG1
case_images: The CT scan of the head showed a large left middle cerebral artery (MCA) distribution infarct but there was some suggestion that the infarct was secondary to cerebral sinus venous thrombosis (CSVT) (Figure 1).
case_images: Axial DWI, ADC, and ASL demonstrate a large area of restricted diffusion and decreased cerebral blood flow in the left cerebral hemisphere with some sparing of the left frontal lobe.. DWI: diffusion-weighted imaging; ADC: apparent diffusion coefficient; ASL: arterial spin labeling.
case_images: cureus-0016-00000051524-i02.jpg
case_images: PMC10759935_01_cureus-0016-00000051524-i02.jpg
case_images: FIG2
case_images: Axial T2 image on follow-up MRI of the brain several months later demonstrates encephalomalacia, gliosis, and volume loss in the left cerebral hemisphere with the development of a likely compensatory subdural hygroma along the left cerebral convexity (Monro-Kellie doctrine).. The blue arrow indicated encephalomalacia, gliosis, and volume loss in the left cerebral hemisphere with the development of a likely compensatory subdural hygroma along the left cerebral convexity.
case_images: cureus-0016-00000051524-i03.jpg
case_images: PMC10759935_01_cureus-0016-00000051524-i03.jpg
case_images: FIG3