Presentation
Brought to A & E by friends. Severe headache all morning. GCS 8/15. Hypertensive 180/110 mmHg. Bleed?
Patient Data
Age: 40
Gender: Male
From the case:
Primary intraventricular hemorrhage
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Extensive acute hemorrhage throughout the ventricular system.
No intraparenchymal hemorrhage. No underlying vascular abnormality identified.
Dilatation of the ventricular system.
Case Discussion
Acute primary intraventricular hemorrhage with triventricular hydrocephalus. This is likely to be hypertensive in origin in this patient.
The intraventricular hemorrhage illustrates well the ventricular system of the brain, in particular the cerebral aqueduct and the lateral apertures of Luschka.
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