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Case Reports
. 2017 Mar 8:2017:bcr2017219300.
doi: 10.1136/bcr-2017-219300.

Simultaneous left-sided hypertensive putaminal and thalamic haemorrhages

Affiliations
Case Reports

Simultaneous left-sided hypertensive putaminal and thalamic haemorrhages

Osama S M Amin et al. BMJ Case Rep. .
No abstract available

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
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
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) of the left lateral ventricle. The blood can also be seen within the occipital horns (orange arrows) of both lateral ventricles. These bleeds appear as blood/fluid levels below the calcified choroid plexuses (green arrow). Both haematomas act as space-occupying lesions; there are mass effects and mild midline shift.

References

    1. Amin OS. Simultaneous hypertensive intracerebral haemorrhages: what are the odds? BMJ Case Rep 2013;2013:pii: bcr2012008047 doi:10.1136/bcr-2012-008047 - DOI - PMC - PubMed
    1. Amin OS, Rasheed AH, Ahmed SM. Simultaneous intracerebral haemorrhages; which came first, the supra-tentoral or the infra-tentorial one? BMJ Case Rep 2010;2010:pii: bcr0320102805 doi:10.1136/bcr.03.2010.2805 - DOI - PMC - PubMed
    1. Shiomi N, Miyagi T, Koga S et al. . [Simultaneous multiple hypertensive intracerebral hematoma]. No Shinkei Geka 2004;32:237–44. - PubMed

Publication types