44yrs/M admitted today morning,ground level fall on Ventilator support,Pupils - B/l 7mm NRTL,Plantars - B/l mute.BP - 190/100,PR -52.Neurosurgeon explained poor Prognosis after seeing CT brain.APPROACH?

LikeAnswersShare

Rt Caudato putaminocapsular bleed with extension to rt tempirallibe There is uncal herniation with perforation if blood to lateral,3rd and 4th ventricle.Brain edema with compression if rt lateral ventricle and effacement of sulci and gyri Left lateral ventricle is mildly dialated .pupils 7 mm ,ie widly dialated. Prognosis is extremely poor. Needs supportive care.

Valuable opinion
0

Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Rt bg bleed with ivh with accelerated htn, do all blood workup , rule out associated co morbidity, what about the motor movement, if there is m1 ,nothing can be. Done , if better motor movement present evacuation of hematoma to be done , after negative covid test as today scenerio , poor prognosis .

Valuable opinion
0

Right parenchymal hemorrhage with brain stem compression along with intraventricular extension+ durate hemorrhage Looks like hypertensive bleed Pupils 7mm NTRL Fatal battle General supportive treatment POOR PROGNOSIS. IF relatives are willing then do it counselling for organ donation

Valuable opinion
0

Massive right sided cerebral hemorrhage with midline shift, extending into 3rd and 4 th ventricles. Management is to control the blood pressure, raised ICP, ventilatory support, electrolytes, input/output, Gastric stress ulcer prophylaxis, DVT prophylaxis, prevention of decubitus ulcer and nutrition. Neurosurgery consultation for possible intervention. Prognosis is guarded.

Rt BG bleed which has decompressed into ventricles. Consider for EVD.

Valuable opinion
0

Large right parietal bleed with ventricular breakthrough with mid line shift

Seems patient is beyond help

Rt gangliocapsular bleed with intraventricular extension with midline shift . patient needs surgical evacuation with evd placement at the earliest by competent neurosurgeon ASAP

subarchod hoorhge ha

Load more answers

Cases that would interest you