Concluded Case

EDH left parietotemporal with Rt SDH frontotemporoparietal

New case . 38 yr ,M,Alleged history of fall,fell down from 2nd floor,approximatly 10 ft high on 18th of this month at 6PM. Arrived at ER with in an hr. Deeply unconcious, bleeding from left ear noted ,immediatly intubated ,sedated and mechanically ventilated at ER and admitted in the Neurosurgery ICU. Diagnosis and management.

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Thanks tall answered. Discussion: Diagnosis & Management. CT REPORT: Large extraaxial lentiform shaped hyperdense hematoma left temporoparietal convexity.Few trapped air pocket seen.Mass effect and midline shift noted to the rt . Hyperdense SDH along the Rt frontoparieto temporal with underlying SAH . Contusion rt temporal lobe. Intraventricular hemorrhage in the atrium of rt lateral ventricle. Diffuse edema with effacement of sulci & gyri. Subfalcian & uncal herniation to left. Thin undisplaced # in the left parietal bone extending to left temporal. Rt FRONTO-TEMPORO-PARITAL CRANIECTOMY WITH EVACUATION SDH DONE. SIMULTANEOUSLY LEFT PARIETALCRANIECTOMY & EVACUATION OF EDH DONE. Patient is out of ventilator ,still in the hospital ,on active rehabilitation
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Left temporo-parietal extradural hematoma with linear fracture of temporal bone (primary insult?) with Right sided Acute subdural hematoma (contrecoup injury?) Immediately craniotomy and evacuation of extradural hematoma first then right sided decompressive hemi-craniectomy and evacuation of ASDH following ICU and ventilator support.
Mam please update the case,if operate
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Left extradural, right temporaietal frontal subdural heamatomas with hemorrogic contusions with fracture left temporal bone
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Thanks tall answered. Discussion: Diagnosis & Management. CT REPORT: Large extraaxial lentiform shaped hyperdense hematoma left temporoparietal convexity.Few trapped air pocket seen.Mass effect and midline shift noted to the rt . Hyperdense SDH along the Rt frontoparieto temporal with underlying SAH . Contusion rt temporal lobe. Intraventricular hemorrhage in the atrium of rt lateral ventricle. Diffuse edema with effacement of sulci & gyri. Subfalcian & uncal herniation to left. Thin undisplaced # in the left parietal bone extending to left temporal. Rt FRONTO-TEMPORO-PARITAL CRANIECTOMY WITH EVACUATION SDH DONE. SIMULTANEOUSLY LEFT PARIETALCRANIECTOMY & EVACUATION OF EDH DONE. Patient is out of ventilator ,still in the hospital ,on active rehabilitation
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