Combined traumatic and hypertensive haemorrhage
Driver in car accident. Reduced GCS.
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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.
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.