Basal ganglia hemorrhage

Case contributed by Dr Mahmoud Nady Hassan Mostafa

Presentation

Sudden loss of consciousness..

Patient Data

Age: 50 years.
Gender: Female
CT

Hyperdensity in the left basal ganglia (lentiform nucleus) and deep temporal white matter area is seen measuring about 46 x 26 x 45 mm in its maximal dimensions, typical of acute hemorrhage. It shows mild mass effect in the form of compression of the adjacent parts of the left lateral ventricle. Mild surrounding perifocal edema is seen. No intraventricular extension. No hydrocephalic changes.

Involutional brain changes. Associated white matter ischemic changes with small lacunar infarcts.

Case Discussion

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

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