Intracerebral bleed

Case contributed by Derek Smith
Diagnosis almost certain

Presentation

Found unconscious at home. Less responsive on the left side, with weakness and increased reflexes.

Patient Data

Age: 60
Gender: Male
ct

Large right fronto-parietal intracerebral hemorrhage with surrounding low-attenuation edema and mass effect.

Compression of the right lateral ventricle with a few millimeters of midline shift. No hydrocephalus.

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