Hypertensive lobar hemorrhage

Case contributed by Jennifer Richardson Maturana
Diagnosis certain

Presentation

Sudden impairment of consciousness with GCS 3.

Patient Data

Age: 50 years
Gender: Male

Left frontal lobar hemorrhage with a volume of 34 cc and associated vasogenic edema, with drainage to the ventricular system reaching the fourth ventricle, causing obstructive hydrocephalus.

Case Discussion

Lobar localization of cerebrovascular events of hypertensive origin is not frequent, and are associated with a worse prognosis and complications in this location, such as ventricular drainage and hydrocephalus.

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