ICH WITH IVH
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%
Right ICH involving basal ganglia,internal capsule with IVH Suggest: ET Intubation and mechanical ventilation Target PCO2 30-35 Prophylactic antibiotic Anticonvulsants Cerebral decongestants Avoid hypotension Blood sugar control Supportive management EVD insertion Repeat CT after 12hrs BT CT PT 2D-Echo Routine labs
Right ICH involving basal ganglia,internal capsule with IVH Suggest: ET Intubation and mechanical ventilation Target PCO2 30-35 Prophylactic antibiotic Anticonvulsants Cerebral decongestants Avoid hypotension Blood sugar control Supportive management EVD insertion Repeat CT after 12hrs BT CT PT 2D-Echo Routine labs
A large intracranial hypertensive bleed in the the region of right basal ganglia and internal capsule region with intraventricular extension causing obstruction hydrocephalus. Conservative decongestive therapy is to be supplemented with external ventricular drain to relieve hydrocephalus
Rt parenchymal bleed-rt thalamus noted in the 1set of film 3rd row , 3rd film from above down with perforation in the ventricular system including lateral, 3rd & 4th ventricle with mild hydrocephalus Suggest repeat ct to look for hydrocephalus Neurosurgical opinion
Accelerated HTN leading to CVA.... Large ICH (Right gangliocapsular region) with Intraventricular extension.... Poor GCS Urgent neurosurgery intervention/conservatuve management
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IVH with obstructive hydrocephalus
Right gangliocapsular bleed with IVH and hydrocephalus Right frontal EVD can be put Rest treatment as per stroke protocol
IVH with obstructive hydrocephalous.
Right gangliothalamic bleed with IVH of HT etiology
Acute left parietal bleed with ventricular breakthrough with mild mid line shift
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