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A 69-year-old man underwent imaging 2 hours following onset of right-sided paralysis. A, Admission NCCT demonstrates left thalamic hematoma with extension of hemorrhage into the third ventricle. Admission CTA (B) and CECT (C), respectively, show 2 foci of active extravasation (arrows). D, Follow-up NCCT 12 hours later shows marked hematoma growth with hemorrhage in both lateral ventricles and severe hydrocephalus. The patient had a fatal outcome.
