Bilateral frontotemporoparietal sub acute on chronic SDH.

New case 54 yr ,M, Presented with left hemicranial head ache since one week. Head ache is starting from the left occipital area and then spread to whole hemicranium.Vomited three times since1 week and last episode of vomiting today morning. Almost continuous head ache ,moderate in intensity,diffuse aching type of pain. Denied having any motor or sensory symptoms. Denied having any trauma to head ,but a vuage history of slipped and about to fall but not remembering to hit his head or not known diabetic ,hypertensive and hypothyroid on regular med.Not on any antiplatelets. On exam vitals stable. Came by walking . BP 140/ 80 mmhg . Optic fundi were normal . No focal deficits. No neck stiffness. What abnormality in the CT brain?

New case 44 yr ,F ,No known comorbidities,not taking any medicine ,Presented with left sided head ache since 1 week more while coughing. Dull aching type of head ache not associated with nausia/ vomiting/ vertigo.She is able to tolerate the head ache and able to do all house hold work.No definite history of trauma,but she is in doubt that her head hit on the window about 2 weeks ago. Examination failed to obtain any focal deficits. Optic fundi normal.On flexing the head she stated that she has headache on the left hemicranium,but no neck stiffness. Diagnosis & management ?

New case 100 yr old reasonably active make,slipped and fell down 4 weeks ago ,got up by himself.Scalp laceration was there and sutured. Well till 1 week ago when the relatives noticed decreased activity,tendency to be in the bed,not talking like before,reduced food habits. On asking he said mild head ache diffuse in nature ,intermittent with out any nausea,vomiting or seizures / vertigo. Denied having any motor weakness. On exam conscious, communicating,very mild reflex asymmetry rt side left almost absent Rt just elicitable. Ct brain - Diagnosis & management. Already ref the case to neurosurgeon and the Pt is under neurosurgeon.

New case. 47 yr old ,F, presented with bifrontal head ache since 7 months Most of the time she has head ache but waxing and weaning in intensity with out any nausia / vomiting / vertigo. She took Amitriptyline,propranolol and paracetamol with out any relief. No history of any significant medical illness. On exam vitals stable BP 130/ 80 mmhg. Optic fundi normal . Nonlong tract signs. No neck stiffness. DONE MRO BRAIN WITH CONTRAST. Diagnosis and management.

New Case. 58 yr,M, Noknown diseases,Admitted with the history of head ache 2 weeks, Rt sided mild weakness1 week. Denied having any vomiting,loss of consciousness or vertigo. Was involved inRTA when the two wheeler he was riding collided with another a month ago. No loss of consciousness or any other problem other than small laceration at nose . Examination showed normal optic fundi. No neck stiffness. Rt sided power gr 4/ 5 with rt sided hyper reflexes and downgoing plantar. Patient received appropriate treatment and became better. Diagnosis.