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Malay's
Malay's
Malay's
Malay's
Stroke (CVA)
Case of ICH with mass effect

The patient presented with uncounsciousness CT Scan finding revealed ICH with 80-120 ml of blood associated with mass effect. He also had right sided weakness and Aphasia. He also suffered from Supraventricular Tachy Cardia. Patient was given conservative treatment after which he improved and was then finally discharged





CVA with Right basal ganglia ICH

Clinical Features & Investigations
Patient presented with left sided weakness and typical waddling gait .C.T.Scan findings suggested right basal ganglia haemorrhage exerting mass effect. Perilesional oedema and mass effect noted with compression of rt.lateral ventricle and 6mm midline shift to the left side.


Pre Operative Images


Post Operative Images

Right parieto occipital hemorrhage

Clinical Findings & Investigations

  • Sudden onset of headache
  • Vertigo
  • C.T. Scan Suggested - hemorrhagic lesion in the right parieto occipital region


Pre Operative Images

 


Post Operative Images

 
Intracerebral hemorrhage in the left caudate nucleus dissecting into ventricular system


Pre Operative Images

 


Post Operative Images

Left intra parenchymal hemorrhage

Clinical Presentation and Investigations

  • A 43 years old male patient presented with unconsciousness since morning and was initially treated outside. Pt. is a known hypertensive and was on irregular medication. No h/o D.M.
  • CT. Findings Left sided intra parenchymal hemorrhage

Management

  • Initially was managed in ICU with i.v. fluids , anti convulsants , anti edema , nebulisation and other supportive measures.
  • Finally managed by craniotomy – left post parieto craniotomy and evacuation of blood clot under GA. Post op recovery was uneventful and patient underwent tracheostomy and was under ventilatory support
  • Pt. improved but was still on Ryle’s tube.


Pre Operative Images


Post Operative Images

 
     
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