Primary intraventricular hemorrhage

Case contributed by Mr Andrew Murphy


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

Patient Data

Age: 80
Gender: Female

Non contrast study

Modality: CT

There is an inter-ventricular 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.

Contrast study

Modality: CT

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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Case Information

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

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