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




FINDINGS




DIAGNOSIS


DIFFERENTIAL DIAGNOSIS