Presentation
Ventilated after head injury, does not regain consciousness.
Patient Data
Small hemorrhagic focus in right thalamus. Several SWI-hypointense foci spread scattered in the cerebral white matter, mostly right frontal and temporal and to a lesser extent, left frontal. The largest foci are right thalamic and right temporal, both FLAIR-hyperintense. Additional tiny hemorrhagic foci in the trigones of the lateral ventricles.
Case Discussion
Hemorrhagic foci in the bifrontal subcortical and right temporal periventricular white matter, the right thalamus, and in the lateral ventricles. Given the immediate history of trauma, consistent with stage 1 diffuse axonal injury (DAI).