Predictors of Poor Outcome in Thalamic Hematoma


Thalamic hematomas form the second largest group of spontaneous intracerebral hemorrhage (ICH), which are related to hypertension. Outcome depends on several factors including age, size of hematoma, GCS score and CT scan findings. Factors predicting poor outcome in a patient with thalamic hematoma are: Male sex Low GCS (<8) Older age Uncontrolled high BP especiallyContinue reading “Predictors of Poor Outcome in Thalamic Hematoma”

Hypertension is a Risk Factor for Both Ischemic Stroke and Hemorrhagic Stroke


Hypertension is a risk factor for both ischemic as well as hemorrhagic strokes. In the case presented here, same patient suffered ischemic and hemorrhagic strokes at two different times. On the CT scan image above, yellow arrows point to the old left temporal infarct. Red arrows point to an acute right thalamic hemorrhage. Control ofContinue reading “Hypertension is a Risk Factor for Both Ischemic Stroke and Hemorrhagic Stroke”

Rapid Expansion of Hypertensive INTRACEREBRAL HEMATOMA


54-year old lady presented with left-sided hemiparesis and drowsiness of 6 hours duration. Her BP at admission was 220/160 mmHg. She was started on anti-hypertensive medications. After 11 hours, her clinical condition worsened and she became comatose. Anisocoria was also noted. BP was 160/100 mmHg. CT scan of brain was repeated, which showed massive increaseContinue reading “Rapid Expansion of Hypertensive INTRACEREBRAL HEMATOMA”

POSTERIOR REVERSIBLE ENCEPHALOPATHY syndrome


17 year old girl presented with acute onset history of headache, blurring of vision and seizures. She was a known case of chronic kidney disease, and was awaiting a kidney transplant. Her BP at persentation was 200/140 mmHg. CT brain done showed bilateral parieto-occipital hypodensities. A diagnosis of posterior reversible encephalopathy syndrome (PRES) was made.Continue reading “POSTERIOR REVERSIBLE ENCEPHALOPATHY syndrome”

Acute Hydrocephalus Developing After Pontine Hemorrhage


Pontine haemorrhages are uncommon and account for about 10% of all cases of intracerebral hemorrhage (ICH). Hypertension is the most common underlying cause, accounting for about 90% of all cases. Pontine hemorrhages are associated with high morbidity and mortality. About 40% people with pontine bleeds do not survive. Low GCS at admission and hemorrhage volumeContinue reading “Acute Hydrocephalus Developing After Pontine Hemorrhage”