Thalamic hypertensive haemorrhage

Case contributed by Prof Peter Mitchell

Presentation

Acute onset right hemiparesis

Patient Data

Age: 88
Gender: Male
Modality: CT

 

A left thalamic hematoma with mild surrounding oedema. Mass effect results in some effacement of the third ventricle. The lateral ventricle size is within normal limits. The basal cisterns are not effaced. Periventricular white matter hypoattenuation in keeping with chronic small vessel ischaemia. No extra-axial collection. No evidence of trauma.

CONCLUSION:

Acute left thalamic haemorrhage. Location suggestive of hypertensive cause.

 

Case Discussion

Hypertensive patient with thalamic haemorrhage - typical appearance, patient not coagulopathic, and no imaging features to raise concerns of underlying lesion.

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Case Information

rID: 33473
Case created: 14th Jan 2015
Last edited: 15th Oct 2015
Inclusion in quiz mode: Included

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