I have really enjoyed making this series.. and am working on the final episode, collaborating with Prof Peter Mitchell, and interventional neuroradiologist at Royal Melbourne Hospital, on the final episode - endovascular therapy of acute stroke ! Should be a good finale.
Which morfologic features can help us differentiate a primary intracerebral hemorrhage (lobar-->cerebral amyloid angiopathy) and hemorrhagic transformation of infarction (after reperfusion) in a delayed scanning??
Hi marcelo good question. The answer is not straight forward and depends on modality and timing. Generally the clue is that the area involved conforms to a vascular territory and often parts of the infarct can be seen that are not frankly haemorrhagic. Haemorrhagic transformation tends be more multifocal than lobar haemorrhages. MRI may demonstrate SWI microhaemorrhages elsewhere Supporting the Dx of CAA. radiopaedia.org/articles/cerebral-amyloid-angiopathy-1
