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:

1. Basal ganglia (40-50%)
2. Intralobar (20-50%)
3. Thalamus (10-15%)
4. Pons (5-12%)
5. 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

Follow me on Twitter (@criticalcarenow) and Google+ (+haneymallemat)