Primary intraventricular haemorrhage

Case contributed by Mr Andrew Murphy

Presentation

Patient presented following a fall of unknown etiology, large frontal haematoma with right sided facial droop.

Patient Data

Age: 80
Gender: Female
CT

Non contrast study

There is an inter-ventricular haemorrhage of the lateral, third, and fourth ventricles. Acute hydrocephalus is the most likely cause of the dilation of the lateral and third ventricles.The pineal gland is calcified.

CT

Contrast study

There is elongation and distention of both the left vertebral and basilar arteries. Aneurysm of the left vertebral artery just proximal to the basilar origin. 

Case Discussion

Primary intraventricular haemorrhages secondary to trauma is incredibly rare accounting for 2-3 % of intracerebral haemorrhages. The most prevalent causes of intraventricular haemorrhage are arteriovenous malformations and aneurysms 1-4

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Case information

rID: 47242
Case created: 6th Aug 2016
Last edited: 22nd Jun 2017
System: Head & Neck
Inclusion in quiz mode: Included

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