Pt is a old man came with co sudden onset of consciousness since morning kco htn non compliant pt was in gasping stage was intubated in vo impending respiratory failure Bp 260/110 Spo2 55% on ra Interpret ct findings and management

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Acute hematoma left basal ganglia internal capsule ,adjacent temporal lobe with perforation of blood to both body of lateral ventricle posterior horn of both lateral ,3red and 4th ventricles .Ther is incal herniation to rt with downward displacement if brainstem.Transfalse herniation to Rt noted.perilesional edema with midline shift to rt ,compression of left lateral ventricle. Suggest conservative management.

Intracerebral hemorrhage lt parietal and hypothalamic area with leakage in ventricles and midline shift Gradual lowering of bp Inj lasix Inj manitol Inj dexamethasone Inj Ceftriaxozone Keep intubated on ventilator Sos craniotomy to decompress and removal of clot

Haemorrhage in lt thalamic region Midline shift rt Hydrocephalus Oxygen less Follow up with mri Opinion of neurosurgeon

HTN induces IC Bleed in my. Side with odema with MLS with ventricle bleed also. Patient is put on conservative treatment with ventilator support. Prognosis is poor. Rt. Side hemiplegia present according to NCCT film. Neurosurgeon opinion must but not be in favour of surgery because of poor prognosis

Acute large cerebral bleed with ventricular breakthrough with mid line shift

Urgently ask for CBC ESR Blood SUGAR LFT RFT CECT OF BRAIN ECG

Bilateral massive haematoma refer to NEURO surgeon

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