Advanced Neuroimaging Techniques for Difficult Diagnoses: Giant Hemorrhagic Venous Infarct Or Not?

An 51-year-old female presented with a headache, nausea, vomiting, and weakness. The lesion resembling a hemorrhagic mass was observed in the brain tomography and magnetic resonance imaging of the patient. However, thrombosis was suspected in the cerebral venules adjacent to the lesion. Magnetic resonance spectroscopy and magnetic resonance perfusion data excluded neoplastic lesions. Thus, the patient was treated for venous infarction. Hemorrhagic venous infarcts may mimic hemorrhagic masses. For this reason, the distinction of the lesions is important for the treatment procedure. Advanced neuroimaging in lesions resembling hemorrhagic masses must be performed for accurate diagnosis. Address correspondence and reprint requests to Gökhan Polat, MD, Department of Radiology, Faculty of Medicine, Ataturk University, 25040 Erzurum, Turkey; E-mail: dr.g.polat@gmail.com Received 31 December, 2017 Accepted 10 May, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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