6yrs old child brought in casualty with h/o fall from approx 11feet height.GCS - E1M1V1,gasping respiration.Interpret CT findings with Management???



#Lt parietal bone/ lt epidural hematoma Diffuse Cerebral bleed (Rt extensive)/ Cerebral edema with compromised ventricles., GCS-3, Rx. BTV/red. ICP/ supportive mnmt/ ?RT/Catheter/UOP/Arrange BT/ wf Seizures/vitals NeuroSx opinion. Explain grave prognosis.

No intra cranial haematoma. Diffuse axonal and neuronal injury with severe hypoxia Ventilatory support and supportive care with poor prognosis as GCS is 3

White cerebellum sign,Global brain anoxia due to prolonged hypoxia.Severe hypoxic damage to the supratentorial compartment and the brainstem.

No intracranial hematoma... White cerebellum.... Diffuse axonal and neuronal injury with severe ischemia / hypoxia. Diffuse Cerebral odema with compromised venticles. Maybe Lt parital # & extradural hematoma. And GCS - 3 Supportive care and explain poor prognosis. Urgent Neurosurgeon & Neurologist opinion.

Intubate with propofol and give mannitol. Bilateral hypoxic injury due to DAI. Extremely poor prognosis. I m sure pupils would be dilated and fixed. But if child would have presented a little earlier then bilateral decompressive craniectomy would have bèen life saving

White cerebellar sign.Severe hypoxic ischemic encephalopathy. PROGNOSIS - Extremly poor. Supportive management

Valuable opinion

White cerebrllum sign with diffuse cerebral edema....grave prognosis

Hypoxic brain injury

Basal skull fracture iv mannitol inj eptoin oral glycerol inj dexa 2mg burr hole if extradural haematoma

Tentorial bleed and diffuse axonal injury In view of his gcs Supportive treatment Prognosis guarded

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