Concluded Case

post traumatic SAH

50/M found unconscious roadside, brought to hospital by a bystander. No previous history available On examination BP 130/90 PR 90 RR 28 Spo2 98% on room air RBS 90 GCS E4M5V4 We get CT head done CT finding and further approach for this pt?

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Concluded answer

thank you all for answers on further enquiry history of RTA was there, possibility of head injury followed by SAH was 1st possibility as other than hemorrhage there was b/l temporal hypodensity is also there in CT pt was managed conservatively plan for vascular study also after 6 weeks

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Blood in the interhemisphric fissure,sucal blood Ltd parietal,both frontal parasagittal ares . Suggest DSAto exclude Anterior communicating artery aneurysm. Start with Nimodipine

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SAH in interhemispheric fissure most likely ruptured ACA or Acom aneurysm. Get CT angio done and plan Clipping or coiling accordingly

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thank you all for answers on further enquiry history of RTA was there, possibility of head injury followed by SAH was 1st possibility as other than hemorrhage there was b/l temporal hypodensity is also there in CT pt was managed conservatively plan for vascular study also after 6 weeks

Bleed in sylvian fissure

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Cerebral oedema Lesion in midline in frontal area at sell likely sol

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Haemorrhage in the anterior interhemispheric fissure. Probable ACOM aneurysm bleed

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