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Intra-cerebral hemorrhages are a known cause of significant mortality and morbidity, among all the different forms of stroke. Primary multiple simultaneous intra-cerebral hemorrhages (MSICHs) are not common and has been reported in association with other diseases. There are only around 105 cases reported. The diseases most commonly associated are thrombophilia and hematologic disorders, vasculitis, neoplasms, arterio-venous malformation, anticoagulant therapy, illicit drug use, or multiple infarction with hemorrhagic transformation. Though the outcome is not much different, probably marginally worse compared to a regular stroke. Herein we describe a middle age male with hypertension who was referred to us with basal ganglial bleed.

Simultaneous (Near Simultaneous) bilateral basal ganglial bleed – A rarity