Hypertensive haemorrhage

Case contributed by A.Prof Frank Gaillard

Presentation

Found on floor.

Patient Data

Age: 85 years
Gender: Male
Modality: CT

There is a right intraparenchymal haemorrhage centred in the right basal ganglia with a surrounding rim of oedema which causes mild effacement of the posterior body of the right lateral ventricle but no midline shift.

CTA COW (not shown) normal. 

Case Discussion

This patient had a documented history of poorly controlled hypertension. In this setting, no further imaging is required as the chances of there being an underlying lesion causing this haemorrhage is remote. In a younger patient, especially if no hypertensive history was present, then seeking out a mass or vascular lesion would be important. 

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Case Information

rID: 37007
Case created: 22nd May 2015
Last edited: 12th Jun 2016
Inclusion in quiz mode: Included

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