Atraumatic multifocal intracerebral hemorrhage

•Case study of atraumatic multifocal intracerebral, subarachnoid, and bilateral frontal convexity acute subdural hematomas.•In the United States and Europe, intracranial hemorrhage accounts for 8–14% of all strokes.•Reported incidence of multiple spontaneous intracranial hemorrhage is 0.7–3.4% of all intracranial hemorrhages.•The infrequent incidence of this condition makes establishing the standard of care difficult.

This article describes a patient with atraumatic multifocal intracerebral, subarachnoid, and bilateral frontal convexity acute subdural hematomas. The patient is a 46-year-old Caucasian man who presented with a spontaneous severe progressive headache. Following a description of the case, this article reviews the reported incidence, proposed etiology, and current management strategies for multifocal spontaneous intracerebral hemorrhage.