Presentation
Presentation via ambulance. Chronic alcohol consumption. No past medical history available from patient.
Patient Data
On the right, there is 75 mm in diameter, irregular intracerebral hemorrhage including the region of basal ganglia. The midline is shifted to the left. Perifocal edema and smaller focal hemorrhages also seen. The right lateral ventricle and the third ventricle are compressed and contain hemorrhage.
Case Discussion
It is unclear what the underlying cause of this patient's intracranial hemorrhage is. The epicenter seems to be in the basal ganglia suggesting that it is caused by high blood pressure; however, it is a large hemorrhage and sometimes lobar hemorrhages due to cerebral amyloid angiopathy can extend to the deep structures of the brain. Secondary hemorrhages from vascular malformations can also sometimes look like this, although, in a 75 years old this is less likely.
On medical examination, the patient showed high blood pressure, which may be secondary to the hemorrhage rather than primary, and confusion of consciousness. The patient then unfortunately died.
Unable to process the form. Check for errors and try again.