Concluded Case

SEVERE TBI

25yrs/M presented to the emergency department after a head on collision with a car while riding his motorcycle. patient initially presented with a GCS of 13, however,he rapidly deteriorated to a GCS of 7 within 3hrs. Immediate CT studies revealed the presence of a large Right sided Acute EDH.Emergent Craniotomy was performed by Neurosurgeon.Post op patient condition improved with GCS 13.Pupils - B/l 4mm RTL

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Concluded answer

A large Extradural Hematoma right temporo- parietal and occipital region This is a commendable work done , I had always,emphasized that EDH should always,be operated as early as possible before herniation of uncus sets in Even a small haematoma should be operated because even a small haematoma enlarges very quickly and there should be no compromise on burr hole exploration

All Answers

A large Extradural Hematoma right temporo- parietal and occipital region This is a commendable work done , I had always,emphasized that EDH should always,be operated as early as possible before herniation of uncus sets in Even a small haematoma should be operated because even a small haematoma enlarges very quickly and there should be no compromise on burr hole exploration

Valuable opinion
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Subdural rt haematoma Parietooccipital region rt Shift of mediastinum rt Mri cervical spine Opinion of neurosurgeon Pressure on intracranial Hypoxia will cause harm Explore

Shift of midline lt
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Huge @Mittakola Praveen Extradural haematoma lt parieto temporal and occipital zone causing the internal pressure causing quick detoriation because get much pl e to spread out So without taking chance it bettre to remove as early as possible to avoid further detoriation Really nice job done sir.

Well done sir. Plz upload post craniotomy scans for academic purpose.

Valuable opinion
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large extradural..surgery yields remarkable return to normalcy

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