INTRODUCTION
In the third world countries, the leading cause of basal ganglia bleed
has been ascribed to hypertension. Amidst these patients, the mode of
presentation is hemiplegia or features provocative of raised
intracranial pressure. Most of them have either been diagnosed with
hypertension not under medication or those who have refrained to
anti-hypertensive medications prescribed.
Venous sinus thrombosis, hemorrhagic diathesis, arteriovenous
malformation, vasculitis, amyloid angiopathy, aneurysm, neoplasm, drug
abuse and angioma has been deemed answerable for multiple intracerebral
hemorrhages [1]. Moreover, bilateral basal ganglia bleed has also
been accredited to trauma, hyperglycemic hyperosmolar syndrome, diabetic
ketoacidosis, methanol poisoning, migraine, anticoagulant use, lighting
strike and fungal infection to name a few [2–6].
CT scan of the head demonstrates presence of hyper dense lesion in basal
ganglia. DSA or CTA of Circle of Willis are inconclusive. We hereby
report a case of simultaneous bilateral ICH with involvement of both the
basal ganglia treated conservatively with an up to par outcome.