A Previously healthy,40yrs old male was admitted in the hospital on 11/4/19 in unconscious and decerebrate state with Alleged H/o Complaints of Sudden spontaneous,contnous headache with vomittings since 2 days duration.Patient was apparently well until around 3am (11/4/19) then found unconscious in bathroom by relatives.GCS was 4/15 upon arrival,Pupils - B/l 7mm NRTL,BP - On inotropes.Neurosurgeon had seen the case and explained the poor prognosis. KINDLY GIVE YOUR OPINION ON THE CASE??
ACOM Aneurysm rupture with Extensive intraventricular haemorrhage causing obstructive hydrocephalus.
ACA big aneurysm rupture with blood in the lateral, 3rd & 4th ventricles with early hydrocephalus and SAH.Already involved the Neurosurgeon and discussed the poor prognosis.Nothing more regarding the management.
Acom aneurysm rupture with SAH extending into ventricular system Requires evd first CTA and DSA Define Aneurysm morphology and plan for surgery after discussing with family in detail about the prognosis
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!
ACOM aneurysm rupture with Extensive IVH with obstructive hydrocephalus with SAH.
ACOM Aneurysm rupture with Extensive intraventricular haemorrhage causing obstructive hydrocephalus.
Aneurysm rupture
Aneurysmal rupture, probably acom bleed
INTRACEREBRAL involving medulla and VENTRICLES only Medical Management by NEUROPHYSICIAN
Cases that would interest you
- Login to View the image
A 56 yr old female presented with complaints of Sudden onset Altered sensorium and Respiratory distress since 5 hrs...Got intubated in some private setup and arrived with very poor GC of E1VtM3....Discuss the site of lesion and treatment that could save her life...
Dr. Hardik Ahuja2 Likes22 Answers - Login to View the image
60yrs old female with no previous h/o HTN presented in casualty in unconscious condition with H/o Sudden LOC following headache n vomitting.Patient is known diabetic × 1yrs O/e GCS - E1M4V1,GCS-P = 4 Pupils - B/L 1mm Non reactive to light Bp - 150/80mmhg Spo2 - 98%
Dr. Prashant Vedwan1 Like23 Answers - Login to View the image
79 yr old male presented with severe headache and vomiting.vitals normal.GCS 15/15.Next step in management?
Dr. Pradeep Singh9 Likes29 Answers - Login to View the image
10 years old female patient presented by sudden disturbed level of consciousness.O/e - flexion to pain, eye opening to pain,no sounds. history of headache for 2 month and one attack of fits . DIAGNOSIS AND MANAGEMENT PLAN?
Dr. Prashant Ved0 Like11 Answers - Login to View the image
24 yr old lady RtSided parasthesia 2 months , insedious onset progressive in nature with out any motor weakness .On exam dulling of all modalities of sensation rt half of yhe body
Dr. Manorama Rajan0 Like9 Answers
2 Likes