A 54 year-old man with a long standing history of hypertension presented with progressive left sided weakness and headache over the course of an hour. This was followed by headache and drowsiness.

CT scan of the head. Note the large intracerebral hemorrhage originating in the area of the basal ganglia on right. Looking closely in the occipital horns of the lateral ventricles, one can appreciate blood (white) as well, indicating that the bleed has dissected into the ventricular system. The basal ganglia is a common location of intracerebral bleeds from hypertension.