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1. Hospital Universitário de Santa Maria (HUSM) – Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil. Mailing address: Dr. Felipe Welter Langer. Departamento de Radiologia e Diagnóstico por Imagem, Hospital Universitário de Santa Maria – Universidade Federal de Santa Maria. Santa Maria, RS, Brazil, 97105-900. E-mail: felipewlanger@gmail.com. restricted diffusion. There is typically no gadolinium enhancement. After glycemic correction, similarly to the clinical findings, such regions tend to return to normal signal intensity. It is important to highlight the role of susceptibility-weighted imaging (SWI) in differentiating between changes seen in HCHB and areas of calcification or hemorrhage, which represent the most common differential diagnoses. Calcium and blood deposits both generally manifest as hyperintensities on T1-weighted images with corresponding hypointensities on T2*-weighted images and SWI; conversely, HCHB changes tend to present as unilateral hyperintensities on T1-weighted images with no matching changes on T2*-weighted images or SWI.

Anterior cerebral artery aneurysm rupture presenting as hemorrhage in the splenium of the corpus callosum