CASE
HISTORY:
A 71-year-old patient with a history of hypertension suddenly suffers from
severe headache and hemiplegia. Patient is comatose.
FINDINGS:
Unenhanced
CT-scan (i.e.
without contrast administration).
Hyperdense
(60-80HE) mass on the right around the internal capsule and the basal
ganglia. Midline
shift to the left. Hyperdense
collection in the right posterior horn. Flattened
gyri und sulci on the right in comparison to the left side.
DIAGNOSIS:
Hypertensive massive
hemorrhage on the right with consecutive mass
effect to the left.
Compression of the right ventricle.
Bleeding
into ventricular system
Brain edema.
DIFFERENTIAL
DIAGNOSIS:
Brain tumors (glioblastoma, metastases)
Hemorrhagic infarction
Cerebral abscess
Information on the internet:
1) AHC-net
2) Medicine worldwide
3) AHC-Consilium