pt is old man came with ho sudden unconsciousness at his residence came to er in gasping stage kco DM htn post ptca pt is on ventilator interpret CT findings

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Rt thalamic hemorrhagic stroke with IVH with midline shift Probably hypertensive You can take neurosurgery opinion but prognosis remain very poor Evd can be tried to reduced icp
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Massive bleeding into the R thalamus with midline shift and extension into the ventricles.poor prognosis.measures to reduce cerebral oedema and icp along with intensive care.neurosurgery opinion.
Rt thalamic bleed with iv breakout....emergency evd with intensive care...intra ventricular instillation of streotikinase has worked to dissolve clots in many of my cases
SUGGESTIVE OF RT. ... ... THALAMIC. AND GANGLIOCAPSULAR BLEED RT....I. V H. EXTENSION ADVISABLE... ANTI SEIZURES. PROPHYLAXIS AND ANTI EDEMA. MEASURES
Right sided thalamic and gangliocapsular bleed with right IVH extension. Adv EVD. With intensive care needed.
Massive bleeding into the R thalamus withiVHwith extension with midline shift Neurosurgery opinion
CEREBRAL HAEMORRHAGE RIGHT SIDE WITH MIDLINE SHIFT TO LEFT SIDE
IVH WITH RT HYPOTHALAMIC BLEED
Rt ventricular hammrhage
Large acute right hemispheric intracerebral haemorrhage tearing into intraventricular space with mass effect and midline shift. Stated h/o hypertension with probable DAPT serving as precipitatant as he is stated post PTCA. He is rightly ventilated (hyperventilation with mild hypocapnia can help reducing ICP). Anti-cerebral oedema treatment along other resuscitative measures must be taken while on ventilation. An arterial line with direct monitoring of MAP is helpful. Hypoglycemia must be avoided at all costs. A neurosurgical and cardiological opinion is of utmost importance. If his coronary stent is recent, it will be tricky call to balance stent patency with antiplatelets versus continued risk of ICH. Prognosis is very grave in this diabetic patient and next of kin must be counselled appropriately - preferably as a team of intensivist, cardiologist and neurosurgeon +/- neurologist.
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