Concluded Case

Intracerebral Bleed- Rt anterior temporal hematoma with SAH.

New Case. 60 yr ,F, Known hypertensive on single med,well under control ,not on any antiplatelets,presented with acute onset of head ache ,vomiting with left sided weakness on on 17th june at 3 pm after getting up from afternoon nap.No documented seizure. ON Exam BP 160/ 90 mmhg ,concious ,answering well with mild dysarthria ,Lt sided power gr 3/ 5with left pyramidal signs.Intact sensations. Diagnosis& management? Currently she is under Neurosurgeon.

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Thanks Curofy and others . Diagnosis& management. Large intraparencymal hematoma noted in the rt anterior temporal lobe measuring 5× 3.5×3.5cm. The hematoma appears dissecting in the Rt sylvian fissure.There is extensive Subarachnoid hemorrhage involving Rt sylvian fissure,rt frontoparietal sulcal spaces,extending to the basal cisterns& tentorium.There is extension of hematoma to left CP angle cistern & folia of anterior aspect of left cerebellar hemisphere.

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Thanks Curofy and others . Diagnosis& management. Large intraparencymal hematoma noted in the rt anterior temporal lobe measuring 5× 3.5×3.5cm. The hematoma appears dissecting in the Rt sylvian fissure.There is extensive Subarachnoid hemorrhage involving Rt sylvian fissure,rt frontoparietal sulcal spaces,extending to the basal cisterns& tentorium.There is extension of hematoma to left CP angle cistern & folia of anterior aspect of left cerebellar hemisphere.

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