case_images: PMC10783679_01
case_images: Non-contrast brain computed tomography scan (axial view) shows bilateral hyperdense areas symmetrically involving both caudate and lentiform nuclei with bilateral perifocal edema.
case_images: SNI-14-415-g001.jpg
case_images: PMC10783679_01_SNI-14-415-g001.jpg
case_images: F1
case_images: A neurosurgical consultation was requested, and after obtaining a non-contrast brain computed tomography (CT) scan, it revealed bilateral hyperdense areas symmetrically involving both caudate and lentiform nuclei with bilateral perifocal edema without midline shift or bony lesions [Figure 1].
case_images: (a) Axial view of brain magnetic resonance imaging (MRI) demonstrates bilateral basal ganglia hemorrhage (BGH) with 4.5 cm x 1.8 cm on the right side and 3.2 cm x 2 cm on the left side, the hemorrhage extended from the head of the caudate nucleus bilaterally to involve globus pallidus, putamen, and anterior limb of the internal capsule; moreover, the hematoma compresses the anterior horn of both lateral ventricles. (b) Axial view of brain MRI demonstrates bilateral BGH, which extended from the head of the caudate nucleus bilaterally to involve globus pallidus, putamen, and anterior limb of the internal capsule; furthermore, the hematoma compresses the anterior horn of both lateral ventricles.
case_images: SNI-14-415-g002.jpg
case_images: PMC10783679_01_SNI-14-415-g002.jpg
case_images: F2
case_images: A 1-month follow-up brain magnetic resonance imaging (MRI) demonstrated a hemorrhage that involves both basal ganglia with 4.5 cm x 1.8 cm on the right side and 3.2 cm x 2 cm on the left side, which applies the mass effect on the frontal horn of both lateral ventricles [Figures 2 and 3].
case_images: Coronal view of the brain magnetic resonance imaging (MRI) showing bilateral basal ganglia hemorrhage involving the lentiform nucleus and the caudate nucleus that compress lateral ventricle bilaterally.
case_images: SNI-14-415-g003.jpg
case_images: PMC10783679_01_SNI-14-415-g003.jpg
case_images: F3
case_images: A 1-month follow-up brain magnetic resonance imaging (MRI) demonstrated a hemorrhage that involves both basal ganglia with 4.5 cm x 1.8 cm on the right side and 3.2 cm x 2 cm on the left side, which applies the mass effect on the frontal horn of both lateral ventricles [Figures 2 and 3].