pt is old man came with ho sudden unconsciousness at his residence came to er in gasping stage kco DM htn post ptca pt is on ventilator interpret CT findings

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Rt thalamic hemorrhagic stroke with IVH with midline shift Probably hypertensive You can take neurosurgery opinion but prognosis remain very poor Evd can be tried to reduced icp

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Right Massive intraparenchymal bleed exerting huge mass effect on the basal ganglia and lateral ventricles with midline shift to left side and quadriventricular bleeding. Maintain ABCDE and vitals. Control BP by labetalol infusion,IV AEDs,control and lower ICP by inj mannitol. Continous monitoring in ICU. Urgent Neurosurgeon opinion for surgery.

Rt putamino capsular hematoma with adjacent white matter of rt temopral lobe with blood in the 3rd Ventricle,body of lateral ventricle,posterior horn of rt lateral ventricle,4th ventricle with midline shift and uncal herniation to left. left lateral ventricle is enlarged. INFORM NEUROSURGEON, ACTIVE SUPPORTIVE CARE. EXPLAIN POOR PROGNOSUS TO THE RELATIVES

Rt thalamic bleed with iv breakout....emergency evd with intensive care...intra ventricular instillation of streotikinase has worked to dissolve clots in many of my cases

Acute cerebral hemorrhage rt parietal and rt ventricle as well as a patch of infarct with perilesion oedema

Right sided thalamic and gangliocapsular bleed with right IVH extension. Adv EVD. With intensive care needed.

Hypertensive Encephelopathy. Surgical intervention with a poorest prognosis in mind.

SUGGESTIVE OF RT. ... ... THALAMIC. AND GANGLIOCAPSULAR BLEED RT....I. V H. EXTENSION ADVISABLE... ANTI SEIZURES. PROPHYLAXIS AND ANTI EDEMA. MEASURES

Massive bleeding into the R thalamus with midline shift and extension into the ventricles.poor prognosis.measures to reduce cerebral oedema and icp along with intensive care.neurosurgery opinion.

Right thalamic / basal ganglionic , massive bleed, with ventricular seepage and midline shift Antiedema measures Anti seizure prophylaxis Watch for coning.

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