A 23-year-old man started complaining of intense headache followed by nausea. Painkillers didn’t work well and after a consultation with his GP, the patient referred to the ER of a primary hospital. Here the patient’s neurological status was good (responsive, oriented in time and space, no motor or sensory syndrome) but with violent headache and vomiting. An urgent CT scan was done which showed intraventricular hemorrhage associated to hydrocephalus (see figure 1). The patient was immediately referred to our Hospital.
Upon arrival in our clinic, neurological status was unchanged.