Concluded Case

Large left high parietal EDH with multiple hegic contusion & SAH

New Case. 60 yr old M, No known comorbidities, H/o of trauma at home on 18th morning. Vomited once. Evaluated at Govt Medical College ,CT done and transferred to our side. On exam tendency to sleep. On exam vitals stable , tendency to sleep but on shaking answering , moving all four limbs . DTRs equal.plantars downgoing . Diagnosis and management and the findings on CT brain.

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Concluded answer
Thanks Curofy & all others who answered the case. Discussion - Diagnosis & management & CT findings. * Large EDH left high parietal region. * Hemorrhagic contusion rt frontal lobe with perilesional edema extending to rt basifrontal area. * Hemorrhagic contusion rt temporal & along the Rt parietal lobe. * SAH along with interhemispheric fissure left frontal,bilateral parietal sulci,sylvian fissure * Linear undisplaced # on left lower parietal bone. Urgent evacuation of left EDH done. Patient is still in the hospital ,improving
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Should be operated for edh
Thanks for the answer .DONE as an emergency
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Thanks Curofy & all others who answered the case. Discussion - Diagnosis & management & CT findings. * Large EDH left high parietal region. * Hemorrhagic contusion rt frontal lobe with perilesional edema extending to rt basifrontal area. * Hemorrhagic contusion rt temporal & along the Rt parietal lobe. * SAH along with interhemispheric fissure left frontal,bilateral parietal sulci,sylvian fissure * Linear undisplaced # on left lower parietal bone. Urgent evacuation of left EDH done. Patient is still in the hospital ,improving
H/O TRAUMA. AS A RESULT THERE IS RIGHTSIDED PARIETO- OCCIPITA SUB DURAL HAEMATOMA AS WELL AS LEFT SIDED FRONTAL HAEMATOMA..... VENTRICULAR SYSTEM IS NOT CLEAR AND THERE IS MIDLINE SHIFT OF SULCUS IN THE MIDDLE CRANIAL FOSSA..... MRI... CONTRAST IS THE BEST FINDING, AND SHOULD BE DONE.... DIAGNOSIS IS SUB DURAL HAEMATOMA WITH VENTRICULAR MID LINE SHIFT..... TREATMENT SHOULD BE OXYGENATION WITH EXAMINATION OF C. S, F AND DRAINAGE OF BLOOD WITH EXTRAVENTRICULAR DUCT..... MRI BRAIN SHOULD BE DONE TO GET CLEAR PICTURE......
Thank you Doctor. NO NEED FOR MRI. All traumatic lesions Ct is enough . Only on special circumstances only MRI is performing.
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CT shows typically lentiform hematoma (lens-shaped, biconvex, lemon-shaped) and do not cross sutures as the periosteum crosses through the suture continuous with the outer periosteal layer s/o Epidural hematoma... H/o Trauma correlates with CT findings Urgent evacuation with burr hole or craniotomy
Valuable opinion
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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!
Thanks Curofy
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Left parietal occipital subdural hematoma.right frontal and right parietal hemorrhagic contusion. Sub arachnoid hemorrhage mild midline shift to right
Thank you doctor
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Rt hemorrhagic contusions and left extradural heamatoma with subarachnoid hemorrhage with fracture
I agree
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FROTAL HEMATOMA LEFT SIDE WITH OCCIPITO PARIETAL HEMATOMA RIGHT SIDE
Thank you doctor
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Lt Fronto parietal haematoma
Thank you doctor
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