New case. 32 yr , M, presented with injury over the face with nasal bleed.While driving the 2 wheeler , collided with the rear of the lorry & fell down . Confused, moving yhe limbs , multiple injuries face , laceration upper eyelid lt side& multiple aberrations in the body . lt pupil 4 mmn non reactiive Pt is under Neurosurgery & follow up ofENt , ophthalmologist & dental surgeon. The incident happend on 16th. Now mobilized, better & no neurosurgical intervention comment on MRI

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32 YEARS OLD MALE PATIENT HAVING SUSTAINED INJURY OVER FACE WHILE DRIVING 2 WHEELER AND COLLIDED WITH THE REAR OF LORRY AND FELL DOWN MULTIPLE INJURIES LACERATIONS IF U KID L SIDE MULTIPLE ABRASIONS OF BODY NON REACTIVE PUPIL THE PATIENT GAS TO BE MANAGED BY MULTI CONSULTANTS FACIOMAXILLARY NEUROSURGOUN PLASTIC SURGOUN OPHTHALMOLOGIST E N T SPECIALIST

Pneumocephalus

This is the update of the case. Thanks Curofy & all others who answered the case. Pt improved wih supportive care & discharged .CT report enclosed .

CT images are given which shows multiple fractures of craniofacial bones with pneumocephalus Conservative management

Pneumocephalous

Maxillary Fractures, Left sided Maxillary Hemosinus , with multiple Pneumoencephalus

#Cribriform plate. Anterior basal skull . Multiple intracerebral Haemorrhage.

Pneumocephalous

Pneumocephalus

Pnemocephalus

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