What is the mainstay of treatment in haemorrhagic stroke?
Blood pressure control is essential. There is likely to be a long rehabilitation spell and further complications such as rebleeds, further infarcts or hydrocephalus have to be monitored for.
What is the role of the ventricular access device (VAD)?
VADs are modified external ventricular drains (EVD) which are used in some centres for the control of hydrocephalus. This was likely needed in this case following the previous subarachnoid bleed in the past.
Right frontoparietal haemorrhage with surrounding oedema.
Mild mass effect with sulcal effacement. Basal cisterns clear with patent fourth ventricle.
Right sided ventricular access device in situ with tip sitting over third ventricle and prior anterior communicating artery aneurysm coil noted.
Normal venous drainage and no evidence of underlying AVM.