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 à Left sided intra parenchymal hemorrhage


  • 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