Hypertensive intracerebral hemorrhage with intraventricular extension

Case contributed by Rania Adel Anan
Diagnosis certain

Presentation

Hypertensive patient with sudden loss of consciousness.

Patient Data

Age: 65 years
Gender: Male
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
non-contrast
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Info

An acute intracerebral hemorrhage is centered in the basal ganglia of the right hemisphere with the extension of blood into both lateral ventricles (intraventricular hemorrhage), third & fourth ventricles as well as the foramina of Luschka and Magendie. There is no hydrocephalus at this stage. 

Case Discussion

This case shows basal ganglia hemorrhage which is a typical location of hypertensive intracerebral hemorrhage.

Hypertension is known as the most common cause of intracerebral hemorrhage.

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