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.