Acute Subdural Hematoma

Acute Subdural Hematoma

A 24-yr-old right-handed man developed headaches of increasing intensity, nausea, and emesis after street fighting. Computed Tomography (CT) of head performed 2 hour after the injury showed right sided large acute ASDH with significant mid-line shift. The patient was unconscious E2V2M2 at the time of first admission. He was then transferred to the hospital for neurosurgical care. His pulse was 78 per minute with regular rhythm, blood pressure was 140/80 mmHg, respiratory was 17 per minute, oxygen saturation was 94% at 2 liter oxygen. He had pupillary asymmetry (Left>Right). Right pupil was briskly reacting and right pupil was sluggishly reacting. He had morbid obesity (280) and had diabetes and hypertension. He was on Tab Metformin and Tab Carvedilol.

 

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