Thalamic hypertensive haemorrhage

Case contributed by Prof Peter Mitchell


Acute onset right hemiparesis

Patient Data

Age: 88
Gender: Male


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.


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.

PlayAdd to Share

Case information

rID: 33473
Case created: 14th Jan 2015
Last edited: 24th Jul 2017
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.