Concluded Case

Major traumatic brain injury- SDH with intraparenchymal hematoma

New case. 41 yr ,M, Alleged RTA,no eye witness ,found in the road unconcious with damaged two wheeler. Evaluated at local hospital,intubated and mechanically ventilated and then transferred. On exam deeply sedated and medically paralyzed. Pupils 1mm bilaterally,poorly reacting.

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Concluded answer

ThanksCurofy & all who answered . Ct brain: * Intraparenchymal hematoma Rt capsuloganglionic region. * SDH along rt fronto temporoparietal & occipital convexity with mass effect in the form of midline shift towards left and mild descending transtentorial herniation. * SAH bilateral frontotemporal convexity rt > Lt. Mild thin SDH left temporal. Craniectomy with evacuation of hematomawith evacuation of SDH done.Still in the hospital ,tracheostomy, rehabilitation care

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ThanksCurofy & all who answered . Ct brain: * Intraparenchymal hematoma Rt capsuloganglionic region. * SDH along rt fronto temporoparietal & occipital convexity with mass effect in the form of midline shift towards left and mild descending transtentorial herniation. * SAH bilateral frontotemporal convexity rt > Lt. Mild thin SDH left temporal. Craniectomy with evacuation of hematomawith evacuation of SDH done.Still in the hospital ,tracheostomy, rehabilitation care

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Thanks Curofy
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Fracture with extra dural and cerebral bleed with ventricular breakthrough with mass effect with mid line shift

You are partially correct. Some thing is more in the CT look again ,enlarge the picture ,easy to see.
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left side skull fracture left side brain intacerebral hemorrhage

#right temporal hone a/w Right gangliocapsular bleed with SDH & SAH

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