Presentation
Drowsiness and left-sided weakness. History of hypertension.
Patient Data
There is a well-defined, hyperdense lesion (with density of about 57 HU) along with mild surrounding edema in the region of right-sided putamen. No intraventricular extension. Mass effect with compression of adjacent sulci, right internal capsule, lentiform nucleus, thalamus and right lateral ventricle. Mild mid-line shift of about 3.3 mm is also noted towards the left side.
Right transverse sinus is hyperdense as compared to the left and was suspected for thrombus formation but MRV was normal (shown below).
Superior sagittal, inferior sagittal, transverse, sigmoid, and petrosal sinuses are normal. Superficial veins are unremarkable. No filling defect and no thrombus were seen.
Normal MRV.
Case Discussion
Location and a known history of hypertension make this hemorrhage characteristic for a hypertensive intracerebral hemorrhage.
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