case_images: PMC3114312_01
case_images: (a) The brain CT scan of case 1 showing a small ganglionic bleed with a subtle mass effect. (b) Repeat brain CT scan of the same patient showing resolving hematoma with subtle hypodensity
case_images: SNI-2-51-g002.jpg
case_images: PMC3114312_01_SNI-2-51-g002.jpg
case_images: F1
case_images: The initial brain computed tomography (CT) scan revealed a small ganglionic bleed associated with perifocal edema and a subtle mass effect [Figure 1a]. A_repeat CT scan at 2 weeks showed that the hematoma had almost resolved [Figure 1b].
case_images: PMC3114312_02
case_images: (a) The brain CT scan of case 2 showing a large left lentiform nucleus bleed with perifocal edema and mass effect. (b) Repeat brain CT scan of the same patient showing progressive resolution of the hematoma with decreasing mass effect
case_images: SNI-2-51-g003.jpg
case_images: PMC3114312_02_SNI-2-51-g003.jpg
case_images: F2
case_images: The initial CT scan of the brain revealed a large hematoma in the left lentiform nucleus with perifocal edema [Figure 2a]. A repeat CT scan showed a resolving hematoma and surrounding edema [Figure 2b], and he was started on the regular rehabilitation program for hemiparetic children adopted at our hospital.
case_images: PMC3114312_03
case_images: PMC3114312_04
case_images: (a) The brain CT scan of case 4 showing a fairly large putamenal hematoma on the right side with mass effect and slight midline shift. (b) Repeat brain CT scan of the same patient showing resolving hematoma with perifocal hypodensity and reduced mass effect
case_images: SNI-2-51-g004.jpg
case_images: PMC3114312_04_SNI-2-51-g004.jpg
case_images: F3
case_images: The initial CT scan of the brain showed a large hematoma in right putamenal area with perifocal edema [Figure 3a]. A repeat CT scan showed an area of hypodensity with decreasing perifocal edema [Figure 3b].
case_images: (a) The brain CT scan of case 5 at the time of admission showing no obvious parenchymal injury. (b) Repeat brain CT scan of the same patient showing an area of hypodensity in left putamen suggestive of ischemic parenchymal injury
case_images: SNI-2-51-g005.jpg
case_images: PMC3114312_04_SNI-2-51-g005.jpg
case_images: F4
case_images: The CT scan of his brain did not show any brain parenchymal injury 2 h after the incident [Figure 4a]. CT scan at 24 h showed a small hypodense area in the left putamenal area with surrounding mass effect but no midline shift. Clinical correlation of the CT scan confirmed an ischemic event of the area [Figure 4b].