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Journal of Case Reports
Remote Primary Ventricular Hemorrhage in Aneurysmal Subarachnoid Rupture
Joseph Garcia Redmond, Saif Yousif, Ananthababu Sadisvan Pattavilakom
Neurosurgical Department, Princess Alexandra Hospital, 199 Ipswich Rd Wooloongabba 4102 QLD, Australia.
Corresponding Author:
Dr. Joseph Garcia Redmond 
Email: jgarciaredmond@gmail.com

Received: 15-SEP-2017 Accepted: 25-MAR-2018 Published Online: 30-MAR-2018
DOI: http://dx.doi.org/10.17659/01.2018.0022
Background: Intra-ventricular hemorrhage (IVH) post-aneurysmal subarachnoid hemorrhage (aSAH) is common, where peri-ventricular intra-cerebral clot has ruptured the ependymal lining. However primary intra-ventricular hemorrhage (PIVH) without associated parenchymal clot is rare. Migration of blood via outlet foramina of the fourth ventricle through CSF pulsation and flow is thought to be the mechanism for this occurrence and would account for small volumes in the sub-acute setting. Case Report: Here, we present a case of a 52-year-old woman with CT demonstrating spontaneous middle cerebral artery (MCA) bifurcation aneurysmal subarachnoid hemorrhage and a large acute third ventricular clot spanning the foramen Monroe. Conclusion: Reflexive hypertensive hemorrhages may occur in aSAH and that these hemorrhages may occur in varied locations.

Keywords : Cerebral Hemorrhage, Hypertension, Intracranial Aneurysm, Middle Cerebral Artery, Subarachnoid Hemorrhage.
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