#Case Files

Post-Traumatic Extradural Hematoma

A 38 year gentleman sustained traumatic brain injury in a road traffic accident. He was unconscious since the time of accident. In emergency his GCS was E1V1M1. Pupils were mid-dilated and sluggish reacting. Initial CT scan showed left temporal thin extradural hematoma and traumatic subarachnoid hemorrhage. The patient underwent left fronto-temporo-parietal decompressive craniectomy with duroplasty. There was not much improvement in his neurological status. A follow up CT scan showed extensive left cerebral hemisphere infarction.

extradural_hematoma_fronto-parietal.jpg

Parietal fracture mimicking coronal suture diastases

A 3 years old, admitted to our hospital because of falling birth. He was diagnosed with a parietal skull fracture and was determined the fracture line was parallel to the coronal suture. The patient presented satisfactory evolution. He was sent home after 48 hours of neurosurgical observation.

Skull Fracture
Skull Fracture
Skull Fracture
Skull Fracture

Spontaneous Intracerebral Hemorrhage

A 3 years old, admitted to our hospital because of falling birth. He was diagnosed with a parietal skull fracture and was determined the fracture line was parallel to the coronal suture. The patient presented satisfactory evolution. He was sent home after 48 hours of neurosurgical observation.

Spontaneous Intracerebral Hemorrhage

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).

Acute Subdural Hematoma

Acute Subdural Hematoma

A 19-yr-old right-handed female boxer developed headaches of increasing intensity, nausea, and emesis after being knocked down while sparring. Computed Tomography (CT) of head performed 1/2 hour after showed acute interhemispheric subdural hemorrhage. The patient was conscious E4V5M6) at the time of first admission. He was then transferred to the hospital for neurosurgical care. His pulse rate was 79 per minute regular in rhythm, blood pressure was 140/80 mm Hg, respiratory was 17 per minute, and oxygen saturation was 94% at 2 liter oxygen. Pupils were bilateral equal and briskly reacting.

Acute Subdural Hematoma

Anterior Cervial Discectomy and Fusion

Key Words: 

Anterior cervical discectomy and fusion is a procedure where a cervical disc herniation is removed through an anterior approach a fusion surgery is performed at the same time in order to stabilize the cervical segment.

Cervical Cage

Acute Subdural Hematoma

A 60-year-old right-handed female developed intense headaches of increasing intensity, nausea, and emesis after falling stairs at home.. Computed Tomography (CT) of head performed one hour after the injury showed left sided large acute ASDH with significant midline shift. Her pulse was 82 per minute with regular rhythm, blood pressure was 190/60, respiratory rate was 24 per minute and oxygen saturation was 93% at 1 liter oxygen. The patient was Unconscious (E1V1M1) at the time of first admission. INR was 2.0. He had pupillary asymmetry (Left>Right).

Acute Subdural Hematoma
 

AAEN

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JNRP

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