pt is 4 yrs child came with ho slip and fall from 9 feet height while playing at home ho 1 episode of vomiting gcs 15/15 interpret CT findings and management
Right frontal large Haemorrhagic Contusions with perilesional oedema. Prophylactic antibiotics,AEDs, n decongestive therapy.Repeat CT after 12hrs.
Contusion SDH rt frontoparietal region Decompression Inj Mannitol Syp Sodium Valproate 10mg/kg/dose twice daily Tab Ondansetron 2mg bd Refer to Neurosurgeon
Rt frontal contusion with perilesional oedema , however the cistern are visible , gcs pulse rate pupil monitoring, adv surgery if there is any bradycardia, anisocoria, other raise ICP features, gcs fall, chances of detroiation,mainly 5,6,7,8 when oedema occur,till then given cerebral decongestant,antiepiletic,supportive treatment, if bradycardia is there then it's better to operate rather than wait for deteriotion of pt.
Right frontal bone fracture Rt frontal EDH Right frontal lobe hemorrhage Observation, neurosurgeon opinion, anti EDEMA measures , conservative management . If there is deterioration, repeat CT and advise
Conservative management with antiepileptics and antiedema drugs. CT only if any deterioration in condition.
Rt frontal SDH...start Mannitol and repeat CT... If doesn't improve or worsens GCS then Burrhole and evacuation
Rt frontal contusion, aed, nsaid, PPP blockers, symptomatic care, observe
Rt frontal hemorrhagic contusion .No mid line shift.suggest supportive care. Rept 24hrs
Hematoma rt frontoparietal region admit neurosurgeon opinion cerebral concussion subdural haemtoma
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