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Contributor:
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Dr. Chris Ekong
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Age: 61
Sex: Male
History: Sudden severe headache. Presented three days later after another episode.
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Showed him to be alert but confused. CT confirmed SAH.
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CT of head (initial) Showing SAH
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Arrangements were made for surgery. He was placed on Nemodipme. BP maintained at 120-160 systolic. He suddenly deteriorated on the morning before surgery. GCS dropped from 14 to 8. He was intubated and CT done.
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CT of head showing re-bleed and right frontal haematoma and intraventricular haemorrhage.
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Emergency Craniotory, evacuation of haematoma and clipping of right MCA Aneurysm was done. His GCS improved to 13 post-op.
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Post-op CT of head showing the haematome evacuated.
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A Project of The Emmanuel Charitable Foundation
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Medi-Fax Atlas Series
