Presentation
Sudden headache.
Patient Data
Right anterior lentiform nuclei intraparenchymal haemorrhage extending through the anterior limb of the internal capsule and head of caudade nucleus and opening into the ventricular system, with haemorrhage extending down to fourth ventricle. Possible early hydrocephalus with slightly prominent temporal horns of the lateral ventricles. No brain herniation. Brain parenchyma is otherwise normal.
MRi images does not contribute further and essentially reproduce the CT findings of right basal ganglia haemorrhage with intraventricular extension. No evidence of hypertensive microangiopathy.
Case Discussion
Given history of uncontrolled hypertension and typical basal ganglia involvement, the intraparenchymal haemorrhage was deemed secondary to hypertension.
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