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Images in Neurology
November 16, 2020

Hyperacute Spontaneous Intracerebral Hemorrhage During Computed Tomography Scanning

Author Affiliations
  • 1Department of Neurology, Semmelweis University, Budapest, Hungary
  • 2Department of Neuroradiology, Medical Imaging Centre, Semmelweis University, Budapest, Hungary
JAMA Neurol. 2021;78(3):365-366. doi:10.1001/jamaneurol.2020.4355

A 76-year-old man with hypertension underwent elective carotid computed tomography (CT) angiography to evaluate a previously known asymptomatic right carotid stenosis. Before the examination, the patient had no neurological symptoms. During scanning, he developed head and gaze deviation to the right, and on physical examination immediately afterward, he had left hemiplegia, hemisensory loss, hemianopia, neglect, and severe gaze and head deviation to the right. He was immediately rescanned and later had follow-up scans.

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