Presentation
Patient found unconscious at home.
Patient Data
There is a massive parenchymal hemorrhage centered in the left basal ganglia and temporal lobe showing a mass effect characterized by lateral ventricles compression, midline shift, left subfalcine and transtentorial brain herniation, as well as diffuse effacement of cerebral sulci. There is also subarachnoid hemorrhage with blood within the ventricles and along the tentorium cerebellum.
Case Discussion
These CT images demonstrate an extensive intracranial hemorrhage with clear signs of raised intracranial pressure and compression over normal brain structures. Unfortunately, the patient passed away fewer hours later this exam, the cause of this massive hemorrhage remains unknown.