Intracerebral hemorrhage (warfarinised)

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Sudden deterioration in GCS, in an elderly patient on warfarin.

Patient Data

Age: Elderly
Gender: Male

Non contrast CT demonstrating a large intracerebral hemorrhage involving the posterior aspect of the right cerebral hemisphere. There is extension both into the ventricles and into the subdural space. Marked midline shift is also present.  

Case Discussion

Findings typical of a lobar hemorrhage. 

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