Presentation
Found on floor.
Patient Data
Age: 85 years
Gender: Male
From the case:
Hypertensive hemorrhage
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There is a right intraparenchymal hemorrhage centered in the right basal ganglia with a surrounding rim of edema 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 hemorrhage 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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