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Intracerebral hemorrhage (likely related to chronic hypertension)

USU Teaching File MUTF - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Intracerebral hemorrhage (likely related to chronic hypertension)

History: 89 y/o with past medical history significant for dementia and hypertension, noted to have altered mental status at home.

Findings: Parenchymal hematoma, right occipital lobe Small amount of ventricular blood

Ddx: Vascular malformation Hypertensive hemorrhage Amyloid angiopathy Metastatic disease (e.g. renal, lung etc.) Occult trauma

Dxhow: By exclusion

Exam: Admission vitals included BP 165/105 and GCS=4. No evidence of external trauma. Pupils reactive to light but w/ slow response. Breath sounds clear bilat; normal S1 & S2, no m/r/g; abdomen s/nd/nt; radial pulses 2+ bilat; GCS-4 (verbal-1, eyes-1, motor-2)Na-145, K-4.0, Cl-106, CO2-30, BUN-28, Creat-0.8, GLU-109WBC-13.4, Hgb-14.1, Hct-43.1, Plt-383Alk phos-92, AST-32, ALT 35, TBili-0.9

No MeSH data available.


A single, large intraparenchymal hemorrhage is present within the right occipital lobe measuring 3x2cm with adjacent edema.  There is mild mass effect.  Blood is also seen within the posterior horn of the right lateral ventricle.  A small amount of blood is seen within the posterior falx.  The right lateral ventricle is smaller than the left side.  The sulci, on the right posterior region, is effaced.  The left side appears grossly unremarkable.  Minimal opacification of the right sphenioid sinus is present.  Mastoids appear well aerated.  The rest of the findings appear unremarkable.
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MPX1170_synpic19425: A single, large intraparenchymal hemorrhage is present within the right occipital lobe measuring 3x2cm with adjacent edema. There is mild mass effect. Blood is also seen within the posterior horn of the right lateral ventricle. A small amount of blood is seen within the posterior falx. The right lateral ventricle is smaller than the left side. The sulci, on the right posterior region, is effaced. The left side appears grossly unremarkable. Minimal opacification of the right sphenioid sinus is present. Mastoids appear well aerated. The rest of the findings appear unremarkable.


Intracerebral hemorrhage (likely related to chronic hypertension)

USU Teaching File MUTF - MedPix

A single, large intraparenchymal hemorrhage is present within the right occipital lobe measuring 3x2cm with adjacent edema.  There is mild mass effect.  Blood is also seen within the posterior horn of the right lateral ventricle.  A small amount of blood is seen within the posterior falx.  The right lateral ventricle is smaller than the left side.  The sulci, on the right posterior region, is effaced.  The left side appears grossly unremarkable.  Minimal opacification of the right sphenioid sinus is present.  Mastoids appear well aerated.  The rest of the findings appear unremarkable.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1170&req=5

MPX1170_synpic19425: A single, large intraparenchymal hemorrhage is present within the right occipital lobe measuring 3x2cm with adjacent edema. There is mild mass effect. Blood is also seen within the posterior horn of the right lateral ventricle. A small amount of blood is seen within the posterior falx. The right lateral ventricle is smaller than the left side. The sulci, on the right posterior region, is effaced. The left side appears grossly unremarkable. Minimal opacification of the right sphenioid sinus is present. Mastoids appear well aerated. The rest of the findings appear unremarkable.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Intracerebral hemorrhage (likely related to chronic hypertension)

History: 89 y/o with past medical history significant for dementia and hypertension, noted to have altered mental status at home.

Findings: Parenchymal hematoma, right occipital lobe Small amount of ventricular blood

Ddx: Vascular malformation Hypertensive hemorrhage Amyloid angiopathy Metastatic disease (e.g. renal, lung etc.) Occult trauma

Dxhow: By exclusion

Exam: Admission vitals included BP 165/105 and GCS=4. No evidence of external trauma. Pupils reactive to light but w/ slow response. Breath sounds clear bilat; normal S1 & S2, no m/r/g; abdomen s/nd/nt; radial pulses 2+ bilat; GCS-4 (verbal-1, eyes-1, motor-2)Na-145, K-4.0, Cl-106, CO2-30, BUN-28, Creat-0.8, GLU-109WBC-13.4, Hgb-14.1, Hct-43.1, Plt-383Alk phos-92, AST-32, ALT 35, TBili-0.9

No MeSH data available.