Concluded Case

Leftt temporoparietal SDH ,Rt temporal convexity EDH

New case. 18 yrM, Alleged RTA Scooter vs Bike- pillion rider.Became unconcioys ,evaluated at local hospital, intuvated and mechanically ventilated on 16th jan. Transferred to our hospital for further management. On exam BP 100/ 60 mmhg ,HR58/ mt GCSEq M1 Vt ( post sedation and relaxant).Pupils 2 mm,nonreacting Diagnosis and management?

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Concluded answer

Thanks for all answeres. Acute left tempiroparietal SDH with adjacent intraparenchymal hemorrhagic foci adjacent to frontotempiroparietal cortical sulci,mild perilesional edema.* Acute EDH in the rt temporal convexity. * Onterventricular hemorrgage with hyperdensities in 3rd and rt foramen of Monroe. * Hyperdensity inshenoid sinus - hemosinus. Bilateral decompressive craniectomy ,evacuation and duropladty done underGA. pt is improving.

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Thanks for all answeres. Acute left tempiroparietal SDH with adjacent intraparenchymal hemorrhagic foci adjacent to frontotempiroparietal cortical sulci,mild perilesional edema.* Acute EDH in the rt temporal convexity. * Onterventricular hemorrgage with hyperdensities in 3rd and rt foramen of Monroe. * Hyperdensity inshenoid sinus - hemosinus. Bilateral decompressive craniectomy ,evacuation and duropladty done underGA. pt is improving.

RTA Subdural haema toma rt frontoparietal lt frontal Lacunar infarct Intubate Iv ns Mri spine Opinion of neurosurgeon Comatose Exploratory laprotomy for subdural haematoma

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1. Multiple acute haemorrhagic cortical contusions in bilateral temporal lobes 2. Acute extradural haematoma in bilateral temporal convexities with possible subdural component of lt side 3. Thin traces of bilateral infratentorial subdural haemorrhage 4. Haemorrhagic soft tissue contusion in rt temporoocipital scalp region with rt sphenoid haemosinus. Neurosurgical opinion for evacuation of EDH

Bilateral extradural, hemorrogic contusions

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