IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Acute thalamic hemorrhage

Case contributed by Mahmoud Nady Hassan Mostafa
Diagnosis certain

Presentation

Sudden deterioration and altered conscious state.

Patient Data

Age: 80 years
Gender: Male
ct

Hyperdensity in the left thalamic area is seen measuring about 25 x 15 x 20 mm in its maximal dimensions, typical of acute hemorrhage. It shows mild mass effect in form of compression of the adjacent parts of the left lateral ventricle. Mild surrounding perifocal edema is seen. No intraventricular extension. No hydrocephalic changes.

Associated arteriosclerotic leukoencephalopathy with small lacunar infarcts.

Involutional brain changes.

Case Discussion

Thalamic hemorrhage is one of the most common non-traumatic intracerebral hemorrhages, usually due to hypertension.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.