Description
A woman aged 71 years with hypertension developed sudden severe headache and right-sided weakness. The blood pressure was 210/135 mm Hg. She was drowsy. Examination revealed right-sided upper motor neuron facial weakness, hemiparesis, hemi-anaesthesia and extensor planter reflex. Urgent non-contrast CT brain scan was done as shown in figures 1 and 2.
Figure 1
Urgent, non-contrast, axial brain CT scan of the patient. There are two left-sided hyperdense lesions which are indicative of acute intracerebral haemorrhages.
Figure 2
Urgent, non-contrast, axial brain CT scan at the level of basal ganglia and thalami. There are left-sided putaminal (red arrow) and thalamic haemorrhages (yellow arrow). The posterior limb of the left internal capsule (blue arrow) separates the two haemorrhages. The thalamic haemorrhage has dissected medially and has reached the third ventricle; note the appearance of blood within the frontal horn (black arrow)...
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