Combined traumatic and hypertensive haemorrhage

Case contributed by Dr Andrew Dixon

Presentation

Driver in car accident. Reduced GCS.

Patient Data

Age: 65
Gender: Male

There are multiple intraparenchymal haemorrhages, the largest of which is centered within the left basal ganglia consistent with hypertensive aetiology. The remaining smaller haemorrhages are located at the grey-white junction in the right frontal lobe and temporal lobe consistent with traumatic aetiology. 

Case Discussion

This case is radiologically cute in that the intraparenchymal haemorrhages have two separate aetiologies. The patient most likely suffered a left basal ganglia hypertensive bleed whilst driving and then crashed his car receiving traumatic right frontal and temporal haemorrhages.   

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Case information

rID: 32374
Case created: 24th Nov 2014
Last edited: 25th Nov 2016
Inclusion in quiz mode: Included

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