case_images: PMC6902021_01
case_images: MRI (A,B) and CT (C) images. MRI imaging on day of admission after a first seizure was unremarkable (A: axial FLAIR). MRI on day 5 showed a spontaneous left hemispheric ICH with a subarachnoid component (SAB) (B: axial FLAIR; white arrow: ICH, asterisk: SAB). One day later the patient deteriorated again and CT imaging showed a right sided sICH and edema of the left hemisphere (C: axial CT; white arrow: ICH, asterisk: SAB).
case_images: fneur-10-01257-g0001.jpg
case_images: PMC6902021_01_fneur-10-01257-g0001.jpg
case_images: F1
case_images: Initial investigations including cerebral magnetic resonance imaging (MRI; Figure 1A) and cerebrospinal fluid (CSF) analysis were negative. Five days after hospitalization, the patient suffered a spontaneous left hemispheric intracranial hemorrhage with a large intraparenchymal and a small subarachnoidal component (Figure 1B). On the subsequent day, a second bleed occurred on the contralateral side (Figure 1C).