Concluded Case

Bilateral chronic SDH with multiple loculated acute SDH.

75 yr ,M, Admitted with Rt sided mild weakness since2 days.Mild diffuse headache since 5 days with put any other symptoms. Recent history of COVID 19 ,cat B, became - ve 14 days ago prior to the present symptoms. Known Diabetic 30 yrs ,hypertensive 35 yrs,CABG 30 yrs ago. On exam Vitals stable, BP 140/ 90 mmhg concious ,well oriented, intactcranial nerves.Motor system Mild weakness Rt grip ,other group of muscles gr4/ 5 power rt side, normal power left. DTRS UNIFORMLY HYPOACTIVE WITH DOWNGOING PLANTARS. MRI brain done. All blood work up normal. RT PCR -ve Diagnosis and Management?.

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Concluded answer

Thanks for all answeres. MRI brain : * Bilateral complex Subdural collections along bilateral fronto-parieto- temporal convexities ( Lt > Rt) with bilateral multiliculated collections broad - based against the duramater. Features are likely to represent bilateral chronic subdural hematoma with multiple loculated subdural acute hematoma . * Mass effect with uncal effacement in the left frontal,parietal and temporal lobes,partial effacement of left lateral ventricle and mid line shift to Rt. * Bilateral frontoparietal burrhole evacuation of hematoma done under GA. pt is discharged

All Answers

Thanks for all answeres. MRI brain : * Bilateral complex Subdural collections along bilateral fronto-parieto- temporal convexities ( Lt > Rt) with bilateral multiliculated collections broad - based against the duramater. Features are likely to represent bilateral chronic subdural hematoma with multiple loculated subdural acute hematoma . * Mass effect with uncal effacement in the left frontal,parietal and temporal lobes,partial effacement of left lateral ventricle and mid line shift to Rt. * Bilateral frontoparietal burrhole evacuation of hematoma done under GA. pt is discharged

Bilateral SDH, left more than right with midline shift towards right Is patient still on anti platelets or anti coagulant ? Or any history or trivial head trauma ? Need surgical evacuation of sdh

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Lt cerebral subdural haemata Shift of midline to right Hydrocephalus

SDH WITH MIDLINE SHIFT TO R SIDE WITH INTRACEREBRAL EDEMA.MAY BE DUE TO ANTICOAGULANTS USED DURING COVID MANAGEMENT

ACUTE ON CHRONIC SDH ALONG LEFT CEREBRAL HEMISPHERE MILD MIDLINE SHIFT NOTED WITH HYDROCEPHALUS

Bilateral credentric sdh probably chronic in nature

?sah

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