Subtle intraventricular haemorrhage

Case contributed by Dr John Grieve

Presentation

Recurrent falls. Increasing confusion.

Patient Data

Age: 96 years
Gender: Female
Modality: CT

This was the 4th CT head in 12 months with the history "recurrent falls" and the first to demonstrate any acute pathology.

There is a small intraventricular haemorrhage within the right lateral ventricle.  Note dependent blood in the posterior horn.

Case Discussion

Blood in the ventricles appears as hyperdense material, heavier than CSF and thus tends to pool dependently, best seen in the occipital horns.It is unknown whether there was a traumatic aetiology or if this is the result of a lenticulostriate artery hypertensive bleed.

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Case Information

rID: 21974
Case created: 2nd Mar 2013
Last edited: 22nd Sep 2015
Inclusion in quiz mode: Included

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