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Basal Ganglia (Putamen) Intracerebral Hemorrhage - Case 2

A 52 year-old man with a history of hypertension developed a headache, aphasia and right sided weakness over thirty minutes.

Outline the Hemorrhage      Outline the Vasogenic Edema      Show the Location of the Basal Ganglia and Thalamus

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 11/23/06.
Copyrighted 2006. David C Preston.

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