A 52 year-old hypertensive man presented with nausea, vomiting and falling to the left.
Axial CT scan of the brain: Note the area of high intensity in the left 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 slightly enlarged). This is an important neurosurgical emergency to recognize as ventricular shunting and decompressive surgery can be life saving.
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