Presentation
Sudden onset right-sided weakness and slurred speech. Twenty years history of hypertension.
Patient Data
Area of high attenuation centered in the left thalamus extending cranially into the corona radiata, in keeping with an acute hemorrhage.
No intraventricular, subdural, or subarachnoid extension
A small volume of perihematomal edema but no midline shift or hydrocephalus.
Moderate periventricular and deep white matter low attenuation in keeping with small vessel change.
Moderate generalized cerebral volume loss.
Case Discussion
Deep left intracerebral hemorrhage centered on the left thalamus. Its location and background brain features are in keeping with a hypertensive hemorrhage.