Intraventricular hemorrhage (IVH), characterized by bleeding into the brain's ventricles, is often associated with intraparenchymal hematomas or subarachnoid hemorrhages. Historically diagnosed post-mortem, modern imaging now identifies IVH with non-specific symptoms or as an incidental finding. This case report details the discovery of primary intraventricular hemorrhage (PIVH) in an elderly male cadaver during a routine dissection at Dr. RPGMC Kangra. The dissection revealed rusty, brownish discoloration throughout the lateral, third, and fourth ventricles, along with midline shifting and compression of adjacent structures. PIVH, a rare and severe condition primarily linked to hypertension and vascular malformations, accounts for 3% of intracerebral hemorrhages in adults. Its prognosis is especially poor in the elderly. The distinctive coloration results from hemoglobin degradation and iron deposition. This case underscores the critical need for advanced clinical techniques, including minimally invasive clot removal and recombinant tissue plasminogen activator therapy, to improve survival and long-term outcomes in IVH patients.