Concluded Case

Acute on chronic SDH left fronto-temporo-parietal region.

New case. 76 yr ,M, Fall from two wheeler in sep 2020. Admitted and treated locally, no details available. Had a fall hitting his face a month ago while walking. Since then noted gradually progressing rt sided weakness worse for the last 1 week with difficulty in speaking for the last 2 days.Also has incontinence of urine and unable to walk for the last 2 days. He is a known diabetic and hypertensive for 20 yrs . On exam BP 120 / 80 mmhg. Vitals stable. Concious.Expressive aphasia.Ootic fundi normal Rt sided facial weaknesswith gr3/5 power rt side.DTRS hyperactive rt side with rt extensor plantar. Diagnosis & management?

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Concluded answer

Thanks for all answeres. CT brain : Hypodense extraaxial collection with dependent layering hyperdensities in the left froto- parieto-temporal region. ACUTE ON CHRONIC SDH WITH MASS EFFECT AND MIDLINE SHIFT TO RT. Subfalcine herniation to rt. Left fronto parietal burrhole craniectomy & evacuationof hematoma done underGA and the patient became better and discharged .

All Answers

Thanks for all answeres. CT brain : Hypodense extraaxial collection with dependent layering hyperdensities in the left froto- parieto-temporal region. ACUTE ON CHRONIC SDH WITH MASS EFFECT AND MIDLINE SHIFT TO RT. Subfalcine herniation to rt. Left fronto parietal burrhole craniectomy & evacuationof hematoma done underGA and the patient became better and discharged .

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