Basal ganglia hemorrhage with intraventricular extension

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Acute left hemiparesis.

Patient Data

Age: 60 years
Gender: Male

Acute intracerebral hemorrhage centered in the basal ganglia of the right hemisphere

Extension of hemorrhage into the lateral ventricles (intraventricular hemorrhage), and passing into the third ventricle

No hydrocephalus at this stage. 

Case Discussion

Large intraventricular hemorrhage extending from a right basal ganglia parenchymal bleed.

This type of bleed is characteristic of a basal ganglia hemorrhage secondary to long-standing hypertension. 

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