Concluded Case

Acute Intraparenchymal hematoma involving Rt capsuloganglionic region.

New case. 48 yr ,M, Known hypertensive, on med and last check up was during Dec 2019. He missed his BP med for 3days. Now presented with acute onset of left sided weakness of 6 hrs duration. Denied having any head ache or vomiting or vertigo. On exam BP 190/ 108 mmhg . Conscious, communicating well. Left sided power gr 2 / 5 with hypoactive DTRs with 0 plantar left side. What abnormality in the Ct with structures involved ?. Now the BP is well under control. On supportive care only.

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Concluded answer
Thanks Dr Adil and Dr Jain. Discussion what abnormality in the CT brain with structures involved. Acute intraparenchymal hematoma in the Rt Capsuloganglionic region extending to Rt corona radiata & medial temporal lobe with mild perilesional edema .No significant midline shift. With good BP control and supportive care the pt improved
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Thanks Dr Adil and Dr Jain. Discussion what abnormality in the CT brain with structures involved. Acute intraparenchymal hematoma in the Rt Capsuloganglionic region extending to Rt corona radiata & medial temporal lobe with mild perilesional edema .No significant midline shift. With good BP control and supportive care the pt improved
Mam what treatment u have started...carotid doppler n 2 D echo n lipid profile vl be more beneficial...alcohol history...its resolving with perihematoma edema.. conservative with bleeding profile correction...
Hypertensive bleed.He not in the habit of taking Ethanol.Lipid profile is deranged already on statin.No anticerebral edema drug started. Doppler is not indicated. ECG ,cardiac evaluation mild left ventricular hypertrophy only.
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Rt basal ganglion hmg with mild clot retraction with minimal mass effect
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