Introduction:
Basal ganglia hemorrhage is one of the subset of intracerebral hemorrhage(ICH) and is linked to various etiologies. Cases of spontaneous unilateral ICH are de facto. However, spontaneous non-traumatic bilateral basal ICH is extremely rare, and only sparse clinical cases have been published in the literature. Poorly controlled long standing hypertension is one of the culprits in the majority of cases. Uncontrolled hypertension leads to accelerated atherosclerosis, microaneurysms formation, hyaline and hyperplastic arteriosclerosis. These hastened vascular changes further expedite the pathological process resulting in spontaneous intracerebral hemorrhage in patients with poorly controlled hypertension. The clinical occurrence of this entity is extremely thin, which makes this case an invaluable matter to talk about.1,2,3