Presentation
Acute onset right hemiparesis
Patient Data
Age: 88
Gender: Male
From the case:
Thalamic hypertensive hemorrhage
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A left thalamic hematoma with mild surrounding edema. 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 ischemia. No extra-axial collection. No evidence of trauma.
CONCLUSION:
Acute left thalamic hemorrhage. Location suggestive of hypertensive cause.
Case Discussion
Hypertensive patient with thalamic hemorrhage - typical appearance, patient not coagulopathic, and no imaging features to raise concerns of underlying lesion.