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Thalamic Intracerebral Hemorrhage - Ventricular Extension - Case 3

A 54 year-old hypertensive man developed headache, nausea and vomiting, associated with left sided numbness. Within three hours, he lapsed into coma.

Outline the Primary Hemorrhage     Outline the Intraventicular Blood     Note the Enlarged Temporal Horns

Axial CT scan: note - there is a large hemorrhage in the region of the left thalamus with extension to the third, fourth and lateral ventricles. In addition, there is associated hydrocephalus. This is the picture of impending brain herniation.

Revised 05/04/06.
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