A Massive Extradural Hematoma in Sickle Cell Disease and the Importance of Rapid Neuroimaging

Figure 3

MRI brain scan performed three months after evacuation of the extradural hematoma. (a) Axial T2-weighted MRI scan showing multifocal hyperintensities on the left periventricular area and dilated posterior horn of the left lateral ventricle. (b) Coronal T2-weighted MRI scan and (c) axial “fluid attenuated inversion recovery (FLAIR)-MRI. FLAIR-MRI are used to enhance T2-weighted scans to identify hyperintense lesions by suppressing cerebrospinal fluid. Both images (b and c) show prominent left sylvian fissure and dilated posterior horn of the left lateral ventricle and left temporal lobe atrophy. (d) Axial FLAIR-MRI showing white matter hyperintensity of the left parietal lobe signal changes on the parietal bone.

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