A 52 year-old man with a long standing history of hypertension presented with headache, nausea, vomiting and progressive drowsiness.

CT scan of the head. Note the large intracerebral hemorrhage originating in the area of the caudate nucleus on the right. Also, note that the hemorrhage is forming a "cast" of much of the anterior lateral ventricle. The hemorrhage has spred to the adjacent lateral ventricle. Looking closely in the occipital horns of the lateral ventricles, one can appreciate blood as well. The basal ganglia is a common location of intracerebral bleeds from hypertension.