A 47 year-old hypertensive woman presented with nausea, vomiting and the inability to walk.
Axial CT scan of the brain: Note the area of high intensity in the right cerebellum which denotes acute bleeding on CT imaging. Also note the effacement of the adjacent fourth ventricle and the presence of early hydrocephalus (i.e., the temporal horns are enlarged). This is an important neurosurgical emergency to recognize as ventricular shunting and decompressive surgery can be life saving.
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