Spontaneous Intracranial Hemorrhage in a 29-Year-Old Male: A Case Report

Spontaneous intracranial hemorrhage is rare, especially in a young patient population. Signs and symptoms of intracranial hemorrhage include facial droop, vision loss, motor deficits with extraocular movements, deficits with tongue movement, weakness in the arms or legs, sensation loss, and mental status change. This is a case report of a 29-year-old male with no past medical history who presented for a spontaneous intracranial hemorrhage. This patient's only neurologic deficit was the loss of visual field on the left inferior quadrant of his field of vision. The patient obtained a CT head non-contrast which showed 21 mm acute right occipital hemorrhage medially with mild surrounding vasogenic edema. The patient’s blood pressure was lowered with a blood pressure goal of less than 160 systolic blood pressure with a nicardipine drip of 5 mg/hr. The patient was admitted to the intensive care unit for further management of intracranial hemorrhage and neurosurgical evaluation. This case report helps to educate medical providers on the importance of a thorough neurologic exam and the possibility of an intracranial hemorrhage occurring despite age.