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Hemorrhagic transformation seen after 5 days

(A)This CT image shows contrast attenuation in the lentiform nucleus and insular zone in the right middle cerebral artery territory of a 79-year-old patient 4.5 hours after the onset of focal symptoms. There is also hemispheric sulcus attenuation. (B) A follow-up CT scan of the same patient 5 days later shows hemorrhagic transformation as a hypodense area in the deep and superficial areas of the right middle cerebral artery territory. (Used with permission from: Lippincott Williams & Wilkens: Jaillard A, Cornu C, Durieux A, et al. Hemorrhagic transformation in acute ischemic stroke. The MAST-E study. MAST-E Group. Stroke 1999;30(7):1326-32.)

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Associated Disorders

  • Amyloid angiopathy
  • Cerebral embolism
  • Cerebral venous thrombosis
  • Diabetes
  • Hypertensive hemorrhage
  • Iron overload
  • Large cerebral bleed
  • Microbleeds
  • Subarachnoid hemorrhage
  • Thrombocytopenia
  • Thrombotic stroke
  • Vasospasm