Concluded Case

Hemorrhagic contusion bitemporal with sulcal SAH.

New case . 42 yr ,M,fall from hight 15 feet, LOC + ,ear bleed +. Evaluatedxatlocal hospital,intubated ,mechanically ventilated due to low GCSand then transferred. On arrival deeply sedated BP 90 / 60 mmhg , pupils 2 mm bilaterally,poorly reacting ,no motor movements noted ( seded & penalised). DTRS Absent with 0 plantars. What abnormality in the Ct brain ,management & prognosis?.

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Concluded answer
CT Beain. : * Mild diffuse cerebral edemawith ou herniation. * Multipke hemorrhagic contusion in bilateral temporal lobes with surrounding perilesional edema. Mass effect in the form of sulcal effacement of bilateral temporal lobes Acute SAH in Rt fronto temporal parietal sulci. Acute small SDH B/ L posterior parietal & rt occipital . * Linear undisplaced # Lt inferior parietal. On tracheostomy ,under Neurosurgical ICU very slowly recovering with conservative management.
All Answers
CT Beain. : * Mild diffuse cerebral edemawith ou herniation. * Multipke hemorrhagic contusion in bilateral temporal lobes with surrounding perilesional edema. Mass effect in the form of sulcal effacement of bilateral temporal lobes Acute SAH in Rt fronto temporal parietal sulci. Acute small SDH B/ L posterior parietal & rt occipital . * Linear undisplaced # Lt inferior parietal. On tracheostomy ,under Neurosurgical ICU very slowly recovering with conservative management.