Concluded Case

Acute on subacute and chronic SDH Rt fronto- temporo parietal region.

76 yr ,M, Trivial hit over the the rt sided brain 10 days ago. Denied having any head ache ,vomiting or alteration in sensorium. On 8th of this month onwards dull aching pain rt hemicranium with loss of appetite. 9th morning he got up with left sided weakness and hence came to the OPD. On exam vitals stable but noted tendency to sleep while taking history and physical exam. Left sided gr4 / 5 power with left extensor plantar. After the Ct brain he was ref to Neurosurgeon and received appropriate treatment as an emergency. What abnornalityin the CT brain?

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Concluded answer
Conclusion: What abnormality in the CT brain?. *Mixed density SDH( acute on subacute and chronic ) involving Rt fronto-temporo parietal region. * Mass effect with midline shift to left 13mm. *Subfalcine and uncal herniation to left. * Thin anterior interhemisphric SDH. * SDH in the Rt medial temporal lobe is extending to temporal horn of rt lateral ventricle. RT FRONTAL & PARIETAL BURRHOLE EVACUATION OF SDH UNDER GA DONE .Pt is discharged in a good state.
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Conclusion: What abnormality in the CT brain?. *Mixed density SDH( acute on subacute and chronic ) involving Rt fronto-temporo parietal region. * Mass effect with midline shift to left 13mm. *Subfalcine and uncal herniation to left. * Thin anterior interhemisphric SDH. * SDH in the Rt medial temporal lobe is extending to temporal horn of rt lateral ventricle. RT FRONTAL & PARIETAL BURRHOLE EVACUATION OF SDH UNDER GA DONE .Pt is discharged in a good state.
Acute on chronic SDH with MLS with loculation needing surgical evacuation.double burr hole vs craniotomy should be decided introp
Valuable opinion
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Acute , subacute and chronic (all phases) right sided SDH with mass effect. Need urgent intervention
I agree
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right cerebral hematoma subdural hematoma
Thank you doctor
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