Medical image of the week: intraventricular hemorrhage casting

Abstract

No abstract available. Article truncated at 150 words. An 80-year-old woman with a past medical history of hypertension and hypercholesterolemia presented to an outlying hospital at 11:00 hours with slurred speech, left arm drift, and headache. A non-contrast CT of the head revealed an intraparenchymal hematoma in the right thalamus measuring 3.4 x 4.2 cm with an associated intraventricular rupture (Figure 1A, blue arrow). An intraventricular hemorrhage cast with secondary hydrocephalus was also noted on initial imaging (Figure 1A, red arrow). She was placed on a nicardipine drip for blood pressure control and subsequently transferred to OSF St. Francis Medical Center (OSFMC) for a higher level of care. Upon arrival to OSFMC, the patient was poorly responsive, non-verbal, and could not follow commands. She was directly admitted to the Neuroscience Intensive Care Unit for further management. Vitals signs were stable on presentation. Neurologic examination revealed a comatose patient with asymmetric and minimally reactive pupils, absent gag reflex, right ...

Keywords

• intraventriuclar hemorrhage
• casting
• CT scan
• stroke
• hematroma
• intracerebral pressure
• treatment
• surgery
• thrombolytics
• prognosis