Presentation
Patient presented following a fall of unknown etiology, large frontal hematoma with right sided facial droop.
Patient Data
There is an intraventricular hemorrhage 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.
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 hemorrhages secondary to trauma is incredibly rare accounting for 2-3 % of intracerebral hemorrhages. The most prevalent causes of intraventricular hemorrhage are arteriovenous malformations and aneurysms 1-4.
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