Diagnostic Neuroradiology

Neuroradiology

, Volume 44, Issue 11, pp 912-914

Unusually quick resorption of an intracerebral hemorrhage in congenital afibrinogenemia

  • Ingolf C. BötefürAffiliated withDepartment of Neurology, University Hospital Freiburg, Breisacher Strasse 64, 79106 Freiburg, Germany
  • , Jan KassubekAffiliated withDepartment of Neurology, University Hospital Freiburg, Breisacher Strasse 64, 79106 Freiburg, Germany
  • , Martin SchumacherAffiliated withDepartment of Neuroradiology, University Hospital Freiburg, Freiburg, Germany

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Abstract.

Neuroimaging diagnostics of cerebral hemorrhage in congenitally afibrinogenic patients may be compromised by different pitfalls. We describe the case of a 28-year-old patient with the diagnosis of congenital afibrinogenemia who suffered a large intracerebral hemorrhage. Initial cerebral computed tomography showed typical bleeding, but follow-up cerebral CT scans 1 and 2 weeks later revealed an unusually quick and subtotal resorption of hemorrhage with only a small hypodense lesion within the former bleeding area left. Imaging findings and differential diagnosis are discussed with respect to previous reports about intracerebral hemorrhage in afibrinogenemia.

Afibrinogenemia Cerebral hemorrhage Computed tomography Fibrinogen