An hour ago, during a lecture, a 60-year-old professor started experiencing right-sided weakness and numbness. She was sent to the emergency room. He also feels queasy and disoriented. For 20 years, the patient smoked a pack a day, but he stopped 10 years ago. He doesn't consume alcohol. At the age of 70, his father suffered a myocardial infarction. Both the blood pressure and the pulse are 190/100 mm Hg. There are no indications of brain trauma during physical examination. Right-side strength is reduced (1/5) and the plantar reflex is active. A brain CT without contrast is quickly acquired. The photo is displayed below. Which of the following is the most likely cause of this patient's condition?

Question

An hour ago, during a lecture, a 60-year-old professor started experiencing right-sided weakness and numbness. She was sent to the emergency room. He also feels queasy and disoriented. For 20 years, the patient smoked a pack a day, but he stopped 10 years ago. He doesn't consume alcohol. At the age of 70, his father suffered a myocardial infarction. Both the blood pressure and the pulse are 190/100 mm Hg. There are no indications of brain trauma during physical examination. Right-side strength is reduced (1/5) and the plantar reflex is active. A brain CT without contrast is quickly acquired. The photo is displayed below.  Which of the following is the most likely cause of this patient's condition?

Quizplus · Accepted Answer

Eductional Objective: Deep intraparenchymal hemorrhage is most commonly caused by hypertensive vasculopathy of the small penetrating branches of the cerebral arteries (Charcot-Bouchard aneurysm rupture).  This is in contrast to rupture of saccular aneurysms, which typically cause subarachnoid hemorrhage.

An Hour Ago, During a Lecture, a 60-Year-Old Professor Started