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