Hypertensive basal ganglial bleed

Case contributed by A.Prof Frank Gaillard

Presentation

Acute right hemiparesis.

Patient Data

Age: Elderly
Gender: Male

CT brain (non-contrast)

Modality: CT

Non contrast CT of the brain demonstrates an acute intracerebral haemorrhage centred in the basal ganglia of the left hemisphere. These is extension into the ventricle (intraventricular haemorrhage), with blood forming a cast of the lateral ventricle, and passing into the third ventricle. There is no hydrocephalus at this stage. 

Charcot Bouchard aneurysm (diagram)

Modality: Diagram

This diagram depicts the Charcot Bouchard microaneuryms arising from perforating lenticulostriate arteries. These aneurysms typically arise from arteries no larger than 300 micrometers in diameter. 

Brain section photo credit: 

  • Source: wikimedia commons (file here
  • Author: John A Beal, 2005
  • Permission: This file is licensed under the Creative Commons Attribution 2.5 Generic license (CC-BY).

Superimposed artery diagram: Frank Gaillard, 2012

Case Discussion

This type of bleed is characteristic of a basal ganglia haemorrhage secondary to hypertension. 

PlayAdd to Share

Case Information

rID: 10598
Case created: 24th Aug 2010
Last edited: 30th Aug 2016
Tags: stroke, ich, junior
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.