Concluded Case

Multiple intraparenchymal hematoma with SAH and brain edena

New Case. 54 yr, M ,Alleged history of RTA when the scooter he was riding was hit from behind by a motorcycle around 1 P M on 17th April. Was apparently unconcious from the time of injury. Initially taken to Govt MCH ,documented GCS E1 M1 V4. On arrival at our ER , GCS E1 Vt M1. Bp130/ 80 mmhg. Multiple abarations noted over the face. Pupils 3mm,nonreacting. Intubated and mechanically ventilated at ER and admitted under Neurosurgeon . What abnormality in the CT brain ?. How is the prognosis?.

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Concluded answer
Thanks Curofy and Dr Khan for your valuable answer. Discussion -What abnormality in the Ct & What is the prognosis?. Ct brain :Multiple intraparencymal hematoma of varying size,attenuation and fluid- fluid level with perilesional edema. * Tiny hemorrhagic focus in the rt hemipons. *Intraventricular hemorrhage with blood in the lateral ventricles. *Diffuse cisternal and sulcal SAH. *Thin SDH along the rt temporal convexity and bilateral tentorial leaflets. * Diffuse cerebral edema. Declared BRAIN DEATH on the next day of admission,at the time of admission also discussed the seriousness of illness . Organ Donating team discussed with the relatives ,wife and daughter agreed for organ donation. Involved the team, heart was immediately taken to Kottayam MCH and transplanted and the Pt is recovering .One kidney for one of our patient. One has taken to MCH ,TVM. All these during this COVID emergency time. A big salute for all the teams involved and the family members of patient..
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Thanks Curofy and Dr Khan for your valuable answer. Discussion -What abnormality in the Ct & What is the prognosis?. Ct brain :Multiple intraparencymal hematoma of varying size,attenuation and fluid- fluid level with perilesional edema. * Tiny hemorrhagic focus in the rt hemipons. *Intraventricular hemorrhage with blood in the lateral ventricles. *Diffuse cisternal and sulcal SAH. *Thin SDH along the rt temporal convexity and bilateral tentorial leaflets. * Diffuse cerebral edema. Declared BRAIN DEATH on the next day of admission,at the time of admission also discussed the seriousness of illness . Organ Donating team discussed with the relatives ,wife and daughter agreed for organ donation. Involved the team, heart was immediately taken to Kottayam MCH and transplanted and the Pt is recovering .One kidney for one of our patient. One has taken to MCH ,TVM. All these during this COVID emergency time. A big salute for all the teams involved and the family members of patient..
Very commendable, thanks to the multidisciplinary team effort.
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Thanks Curofy
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Multiple hemorrhagic contusions, SAH in basal Cisterns and cortical sulci
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