Concluded Case

RTA- Traumatic brain injury,EDH left parietal convexity

New Case 3 yr ,F, Alleged RTA , Two wheeler vs Two wheeler ,Pillion rider with out helmet ,unresponsive since RTA with left ear bleed on 14 th Jan at 6 PM.Evaluated locally ,intubated and mechanically ventilated due to poor GCS and then transferred. On exam pupils 2mm ,under the effect of sedation. Diagnosis and management. Already seen by Neurosurgeon and admitted under his care.

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Concluded answer

Thanks to all doctors who answered. * Thick EDH in left parietal convexity with mass effect. * Comminuted fracture left parietal bone. * Thick SAH rt frontal cortical sulci. EDH evacuated . Still under neurosurgery care in the hospital. Better

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Left sided comminuted temporal/occipital skull #,left sided EDH with pneumocephalus, Right frontal Contusion n SAH. ATLS protocols, consult neurosx, avoid hypoxia and hypotension.

Epidural hematoma (EDH) is a traumatic accumulation of blood between the inner table of the skull and the stripped-off dural membrane. EDH results from traumatic head injury, usually with an associated skull fracture and arterial laceration.

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Lt. EDH noted at angular gyrus ma'am surrounding edema on the same region also fracture observed on the temporal region need to be drained by NSX stat...

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Dx-Epiddural haemorrhage with haematoma with# of lt parietal bone with countercoup injurry to frontal lobe rt side.burr hole surgery is needed urgently.

Thank you doctor
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Thanks to all doctors who answered. * Thick EDH in left parietal convexity with mass effect. * Comminuted fracture left parietal bone. * Thick SAH rt frontal cortical sulci. EDH evacuated . Still under neurosurgery care in the hospital. Better

Left EDH with # parietal bone with counter coup injury at rt frontal lobe as hemorrhagic contusion Surgical evacuation of edh required urgently With prophylaxis AED

Read as23 yr f

Mam, kindly shed some light on use of AED like epsolin or levetricetam, MANNITOL and dexona for such patients presenting with EDH. I want to esp. know about mannitol and dexa, when to initiate and when to taper?
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Left occipital EDH

Edh with temporal bone fracture need observation repeat scan after 24 hrs then required go for burhole craniotomy

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Diseases Related to Discussion

Bone Fracture