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Active Intracerebral Hemorrhage From the Lateral Posterior Choroidal Artery
Arch Neurol. 2000;57:889-890.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 62-YEAR-OLD man presented with the sudden onset of headache and hemiplegia, and rapidly progressed to coma. Computed tomographic scan of the head showed a right thalamic hemorrhage with intraventricular extension (Figure 1). Routine coagulation laboratory values were normal, so the patient was treated with external ventriculostomy drainage in addition to mechanical ventilation, hypertension management, and aggressive medical resuscitation.
Figure appears in full text version.
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Figure 1. Nonenhanced brain computed tomography demonstrates a right thalamic intraparenchymal hemorrhage (arrow) with intraventricular rupture.
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Magnetic resonance imaging of the head was then performed to assess ventriculostomy placement, check for continued hemorrhage, and identify a cause for the bleeding. The magnetic resonance imaging scan showed continued hemorrhage, as indicated by active gadolinium contrast extravasation (Figure 2). Since his neurological status continued to deteriorate, the patient underwent emergent 4-vessel contrast arteriography to define the cause of the continued hemorrhaging. The left vertebral artery injection showed contrast extravasation . . . [Full Text of this Article]
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