This lady presented with BP 220/120. With history of sudden LoC. With vomiting. And aspiration pneumonia. Came after 10 hours with GCS 5. CT attached

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Cerebral hemorrhage biventricular Pt is hypertensive and lost consciousness as sudden bleed in mid brain area leaking in ventricles bilateral GCS 5 is poor prognosis H/o aspiration pneumonia compounds poor GCS

Thanx dr showkat Shahid
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SAH with Cerebral oedema Decompression Antiepileptic Refer to Neurosurgeon

Accelerated Hypertension Induced B/l Intraventricular Haemorrage.. Needs Hypertensive management..i.e.Lobet Infusion.. Urgent Neurosurgery Intervention.. Start Antiepileptic.. Start Meropenem(1gm) tid(if no any renal problem) and Clindamycin(600mg) tid for Aspiration pneumonitis..

Hypertensive Encephalopathy..

B /L ventricular hammrhage Cerebral oedema Ad admission in neurosurgery

SUGGESTIVE OF MIDBRAIN BLEED ... HYPERTENSIVE S. A .. SEEPAGE

Hypertensive midbrain bleed, with intra ventricular and subarachnoid seepage . Poor prognosis .

Cerebral hemorrhage Refer to neurosurgeon

Hypertensive intracerebral bleeding with aspiration pneumonia adequate control of BP,iv.manitol,iv antibiotics iv epsolin inj pantoprazole,referal to a neurological center.

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