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Question
40 year-old male with severe uncontrolled hypertension presents with altered mental status. Head CT is shown here. Name three common anatomic locations generally seen for non-traumatic intracerebral hemorrhage.
Answer
Answer: The most common anatomic sites for intra-cerebral hemorrhage are:
- Basal ganglia (40-50%)
- Intralobar (20-50%)
- Thalamus (10-15%)
- Pons (5-12%)
- Cerebellum (5-10%),
...and, don't forget the most common causes of non-traumatic intra-cerebral hemorrhage:
- Systemic hypertension (essential, drug use, ecclampsia)
- Rupture of arteriovenous malformation or aneurysm
- Arterial disease (e.g., cerebral amyloid angiopathy)
- Congenital or acquired coagulopathy
- CNS tumor with necrosis and hemorrhagic conversion
References
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