Concluded Case

Subacte SDH left frontoparietal convexity & Rt high parietal area.

New case 63 yr ,f, Kown hypertensive2 yrs,on Amlo5 mg, presented with rt grip weakness 3 days .10 days ago she had mild hit over the left frontal region with window door and she was asymptomatic following that.Den8ed having head ache ,vertigo or vomiting. On exam BP 140/ 80 mmhg. Rt grip is weak ,wrist flexion & extension gr4/ 5 and other group of muscles gr 5/ 5 power. Rt sided mild hyperreflexes with intact sensations. Normal gait. Diagnosis and management?

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Concluded answer

Thanks for the answeres. CT brain -* Subacute SDH SDH involving the left frontoparietal convexity with effacement of adjacent sucal spaces- midline shift to 5 mm to rt side. * Sub acute SDH with few areas of hypodensities indicating fresh hemorrhagic area in the Rt high parietal region. Treatment: Simultaneors burrhole evacuations done ,pt is discharges in a good condition.

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Thanks for the answeres. CT brain -* Subacute SDH SDH involving the left frontoparietal convexity with effacement of adjacent sucal spaces- midline shift to 5 mm to rt side. * Sub acute SDH with few areas of hypodensities indicating fresh hemorrhagic area in the Rt high parietal region. Treatment: Simultaneors burrhole evacuations done ,pt is discharges in a good condition.

Large chronic sdh on left side, while on right side also there is mild sdh Hematoma evacuation must be done ASAP

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