Concluded Case

ACUTE SDH LEFT FRONTO TEMPORO PARIETO OCCIPITAL

82 yr ,M ,Known case of CAD on duval antiplatelets, Slipped and fell down about 2 months ago. Denied having any head ache ,vomiting and alteration in sensorium.Evaluated locally ,CT brain was done ,reported as normal. On 25th morning while getting up onwards the relatives noted some behavioral abnormality in the form of not doing the routein things which he was doing till the previous day like opening the gate,taking the news paper .his speech was in coherent ,forgetting to take his bed coffee etc. Examination showed normal vital signs with fluent dysphasia with out any long tract signs. Ct brain was done and transferred the case to Neurosurgeon. Had undergone surgery. What abnormality in the CT brain?

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Concluded answer
Discussion. What abnormality in the CT brain. Thanks Curofy and all others wo answered the case. CT brain shows left fronto-temporo-parieto occipital heterogeneously hyperdense Suggestive if " ACUTE SDH " with maximum thickness in the left temporal region. Extension of SDH in the left tentorial leaflet * Left subfalcian and uncal herniation noted. * Mass effect in the form of effacement of ipsilateral sulci, sylvian fissure,left cisterns and left lateral ventricle. This is a case of acute SDH.pl re check the film. Diagnosis is easy. Burrhole evacuation done ,pt is discharged
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Discussion. What abnormality in the CT brain. Thanks Curofy and all others wo answered the case. CT brain shows left fronto-temporo-parieto occipital heterogeneously hyperdense Suggestive if " ACUTE SDH " with maximum thickness in the left temporal region. Extension of SDH in the left tentorial leaflet * Left subfalcian and uncal herniation noted. * Mass effect in the form of effacement of ipsilateral sulci, sylvian fissure,left cisterns and left lateral ventricle. This is a case of acute SDH.pl re check the film. Diagnosis is easy. Burrhole evacuation done ,pt is discharged
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