<% strPathPics = Session("strPathPicsL") imgBg = strPathPics + Session("strMedia") %> Basal Ganglia

Basal Ganglia (Putamen) Intracerebral Hemorrhage - Case 1

A 57 year-old man with a longstanding history of hypertension presented with progressive aphasia and right sided weakness over the course of an hour. This was followed by a headache and drowsiness.

Outline the Hemorrhage          Outline the Vasogenic Edema          Outline the Location of the Basal Ganglia

Basal Ganglia (Putamen) Intracerebral Hemorrhage: Axial CT scans. Note the large intracerebral hemorrhage originating in the area of the basal ganglia on the left. The basal ganglia is a common location for intracerebral bleeds due to hypertension.

This is one of the common sites of hypertensive intracerebral hemorrhage. Hemorrhages in this location typically result in a contralateral hemiparesis affecting the face, arm and leg (from involvement of the internal capsule), associated with a hemisensory loss. With larger lesions, aphasia develops with lesions on the dominant side and neglect syndromes with lesions on the non-dominant side. With very large lesions, intracranial hypertension may develop, as manifested by headache, nausea and vomiting, and a depressed level of consciousness.


Revised 11/15/06.
Copyrighted 2006. David C Preston.