Multiple, Simultaneous, Hypertensive Intracerebral Hemorrhages in the Pons and Basal Ganglia : A Case Report

Hypertensive intracerebral hemorrhage (ICH) that occurs simultaneously in different sites is an uncommon malady. Moreover, ICH occurring simultaneously in the supra- and infra-tentorial regions is a rare clinical event. A 74-year-old female presented with multiple ICHs and intraventricular hemorrhage, and she displayed a semicomatose mentality. The ICH occurred in the right basal ganglia and the pons extending to the midbrain. Conservative management was performed, and the patient remained in a vegetative state. We report here on a rare case of multiple hypertensive ICH that occurred simultaneously in the supra- and infra-tentorial regions.