Concluded Case

Large SDH left frontotemporopatietal convexity

New Case 77 yr ,M,known Diabetic ,hypertensive, old stroke, on dual antiplatelet drugs ,Fell down from stair- case,rolled 5 steps ,soon became unconcious . Evaluated locally and transferred for further nanagement. On exam BP 140/ 90 mmhg ,GCS E3 V1 M1. Normal pupils. DTRs hypoactive,plantars 0 b/ l. Admitted under Neurosurgeon in the Neurosurgery ICU and poor prognosis was explined to the relatives. Relatives opted for conservative nanagement . What abnormality in the CT brain,Management & prognosis

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Concluded answer
Thanks to all Doctors who answered the case.Ct shows large Subdural hematoma involving Left frontotemporoparietal convexity.Effacement of adjacent temporal sulci ,spaces and midline shift to Rt. * Extension of subdural hematoma to the left tentorial leaflet. * Hemorrhagic contusion left posterior temporal region with mild surrounding edema. Relatives opted for Conservative treatment and was requested to transfer to near by hospital at their home town and hence discharged at request.
All Answers
Thanks to all Doctors who answered the case.Ct shows large Subdural hematoma involving Left frontotemporoparietal convexity.Effacement of adjacent temporal sulci ,spaces and midline shift to Rt. * Extension of subdural hematoma to the left tentorial leaflet. * Hemorrhagic contusion left posterior temporal region with mild surrounding edema. Relatives opted for Conservative treatment and was requested to transfer to near by hospital at their home town and hence discharged at request.
Massive cerebral, tentorial, subdural... Heamorrhage... Conservative treatment Poor prognosis
Thanks Dr. Pushker Bhomia
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Massive Intracerebral Haemorrhage in left temporal lobe.There is also what seems to be an SDH,and bleeding into basal cisterns,there is reactive oedema,causing left ventricle compression and raised ICP seen by the flattened gyri.
LEFT SIDED SUB ACUTE SUBDURAL HAEMATOMA AFFECTING OCCIPITAL LOBE AND PART OF CEREBELLUM. CONSERVATIVE TREATMENT
Thank you doctor
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Cerebral haemorrhage n subdural n tentorial haemorrhage with mass effect. Extremely poor outcome.
Cerebral, tentorial and subdural bleeds
Valuable opinion
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A CASE OF SPONTANEOUS FALL