Which is the most common site of spontaneous hypertensive intracerebral hemorrhage?

• A Frontal lobe white matter
• B Putamen and adjacent internal capsule ✓
• C Cerebellar vermis
• D Caudate nucleus head

Explanation

Chronic hypertension damages small penetrating arteries, chiefly the lenticulostriate vessels, producing lipohyalinosis and Charcot-Bouchard microaneurysms. The putamen and adjacent internal capsule account for the largest share of hypertensive bleeds, classically presenting with contralateral hemiplegia and gaze deviation toward the side of the hemorrhage. Other recognized sites include thalamus, pons, cerebellum, and lobar regions, each less frequent than the putamen.

Reference: Robbins and Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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