Acute Intraparenchymal hematoma involving Rt capsuloganglionic region.
New case. 48 yr ,M, Known hypertensive, on med and last check up was during Dec 2019. He missed his BP med for 3days. Now presented with acute onset of left sided weakness of 6 hrs duration. Denied having any head ache or vomiting or vertigo. On exam BP 190/ 108 mmhg . Conscious, communicating well. Left sided power gr 2 / 5 with hypoactive DTRs with 0 plantar left side. What abnormality in the Ct with structures involved ?. Now the BP is well under control. On supportive care only.
Thanks Dr Adil and Dr Jain. Discussion what abnormality in the CT brain with structures involved. Acute intraparenchymal hematoma in the Rt Capsuloganglionic region extending to Rt corona radiata & medial temporal lobe with mild perilesional edema .No significant midline shift. With good BP control and supportive care the pt improved
Thanks Dr Adil and Dr Jain. Discussion what abnormality in the CT brain with structures involved. Acute intraparenchymal hematoma in the Rt Capsuloganglionic region extending to Rt corona radiata & medial temporal lobe with mild perilesional edema .No significant midline shift. With good BP control and supportive care the pt improved
Mam what treatment u have started...carotid doppler n 2 D echo n lipid profile vl be more beneficial...alcohol history...its resolving with perihematoma edema.. conservative with bleeding profile correction...
Rt basal ganglion hmg with mild clot retraction with minimal mass effect
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New case 47 yr old ,M, Known hypertensive for 10 yrs on irregular med, presented with acute onset of head ache followed by rt sided weakness with difficulty to communicate. On the way to hospital he developed one episode of generalized fit. Evaluated at local hospital and received fosphenytoin 1gr stat and then and intubated and Mechanically ventilated and then transferred. On exam BP 190/ 116 mmhg. Unresponsive to verbal stimulation.Rt pupil 5mm,nonreacting. Rt eye in the abducted position.No motor response on painful stimulation. DTRS bilaterally hypoactive with unresponsive plantars. Poir prognosis was explained to the relatives and suggested active supportive care. Also evaluated by the Neurosurgeon. What abnormality in the CT Brain with structures involved and the diagnosis
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