Acute subdural hematomas (a SDH) is a common pathology in head trauma. In this case report, we study about left tentorial subdural hematoma, posterior interhemispheric SDH and small hemorrhagic foci in the left temporal lobe near the temporal horn of left lateral ventricle due to hypertension. A 85-year-old male patient was confirmed to have Left hypertensive tentorial bleed. The patients had been diagnosed with CVA one and half years back and MRI Brain, CT Plain Brain was taken on the day before admission. And finally, he was diagnosed with left hypertensive tentorial bleed which is manifested with weakness in both upper and lower limbs and inability to speak and walk. The patient was treated with anticonvulsant, antibiotics, anti-hypertensive agent, psychostimulant, nootropic and anti-hyperlipidemic agent. The treatment for hypertensive tentorial bleeding requires early diagnosis, proper management of blood pressure, therapeutic management and surgical intervention if required.

Keywords : Head Injury, Hypertension, Tentorial Subdural Hematoma.