Abstract
Basal ganglia hemorrhage, one of the most devastating forms of cerebrovascular disease, is often as a result of poorly controlled long standing hypertension. Hypertension often leads to development of solitary intracerebral hematoma. The occurrence of multiple simultaneous intracerebral hemorrhages due to hypertension in same or different vascular territories is rare. We report the occurrence of simultaneous bilateral hypertensive putaminal hemorrhage appearing as mirror image (Owl eye appearance) in a 60 years old gentleman and discuss the probable pathophysiological mechanisms
Highlights
Intracerebral hemorrhage (ICH) accounts for 10 to 20% of all strokes
Simultaneous occurrence of hypertensive ICH in bilateral putaminal region appearing as mirror image (Owl eye appearance) has been rarely reported [5,6,7]
Follow up computed tomography scan (CT) scan done after 24 hours of stabilising the blood pressure did not reveal any increase in size of bilateral putaminal hematoma
Summary
Intracerebral hemorrhage (ICH) accounts for 10 to 20% of all strokes. Though hypertension can lead to recurrent ICH, the occurrence of multiple simultaneous ICH is rare [4]. The occurrence of multiple simultaneous ICH has been observed in 2% of all hemorrhagic strokes [2,5]. Multiple simultaneous ICH due to hypertension has been reported in same or different vascular territories [2,4].
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