Clinical question:? Hemorrhage. Signs and symptoms: Facial droop Nonenhanced CT of brain:There is no evidence of intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus. Heavy vascular calcification of intracranial right vertebral. There is also high density of bilateral middle cerebral arteries in the sylvian fissures and basilar artery. Above findings are believed to represent vascular calcification and atherosclerotic disease.There is prominence of the folia of cerebellum and vermis for patient stated age which are concerning for underlying cerebellar parenchymal volume loss. Note should be made that acute early stroke can be missed on CT. If patient's symptoms persist follow-up CT or an MRI is recommended.
1.No evidence of acute intracranial findings.2.Suspect the parenchymal volume loss of cerebellum.3.If clinical symptoms persist an MRI or follow-up CT is recommended