Concluded Case

76yrs old male presented to casualty with complaints of Severe headache for 5 days duration.Past history revealed a minor fall with head injury five weeks ago for which no medical attention was sought.No previous history of any medical illness. Examination was unremarkable. coagulation profile normal.Pupils - B/l 5mm RTL,GCS - 13/15,BP - 140/90mmhg,PR-120/Mt,Spo2-98%,RR-18/Mt KINDLY GIVE YOUR OPINION ON THE CASE AND WHAT SURGICAL PROCEDURE HE HAD UNDERGONE??

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Concluded answer

Right FTP CSDH with mass effect. Two burr holes n evacuation of Chr Sdh was done.

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Burr hole drainage of sdh which is chronic will suffice. I did not see any tonsillar herniation nor any acute sdh nor hygroma. It's a simple chronic sdh, needs simple drainage by burr hole

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Chronic SDH with midline shift. Will require evacuation by Burr hole drainage. Usually patient respond to surgery well. Chances of recurrence need to be explained to the family.

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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!

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Right FTP sub acute to chronic sdh with mass effect and MLS Burr hole evacuation of the hematoma should be the surgery

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Right FTP chronic SDH with midline shift to left. Needs burr hole evacuation.

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Chr sdh rt ftp region.burr hole evacuation might be the procedure

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Rt fronto temporo parietal SDH acute on chronic with compression of Rt lateral ventricle and mild midline shift. 3rd se of film cervical MRI shows multiple cervical disc with thecal indentation with out any cord involvement. For SDH management Parietal craniectpmy with evacuation of hematoma.. Some centres burr hole evacuation . Pt needs surgery urgently. For cervical needs medical manage ment

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Large Right Fronto-temporo-parietal subdural hygroma causing mass effect and midline shift to opposite side Sagittal section shows herniation of cerebellar tonsils It is a life threatening emergency - it requires urgent evacuation of right SDH with decompression craniectomy.

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Right FTP CSDH with mass effect. Two burr holes n evacuation of Chr Sdh was done.

Acute sdh with significant midline shift Need evacuation of hematoma

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