SWI (GRE) Sequences are the BEST to Detect Bleed on MRI Brain


It is extremely vital that we differentiate brain hemorrhage (bleeding) from brain infarcts, when patients present with clinical features of stroke. This is because patients with infarcts are eligible to receive thrombolytic treatment, to lyse the blood clots. On the other hand, thrombolytic treatment is contraindicated in patients with brain hemorrhage (bleed). Drugs used forContinue reading “SWI (GRE) Sequences are the BEST to Detect Bleed on MRI Brain”

Predictors of Poor Outcome in Thalamic Hematoma


Thalamic hematomas form the second largest group of spontaneous intracerebral hemorrhage (ICH), which are related to hypertension. Outcome depends on several factors including age, size of hematoma, GCS score and CT scan findings. Factors predicting poor outcome in a patient with thalamic hematoma are: Male sex Low GCS (<8) Older age Uncontrolled high BP especiallyContinue reading “Predictors of Poor Outcome in Thalamic Hematoma”

Rapid Expansion of Hypertensive INTRACEREBRAL HEMATOMA


54-year old lady presented with left-sided hemiparesis and drowsiness of 6 hours duration. Her BP at admission was 220/160 mmHg. She was started on anti-hypertensive medications. After 11 hours, her clinical condition worsened and she became comatose. Anisocoria was also noted. BP was 160/100 mmHg. CT scan of brain was repeated, which showed massive increaseContinue reading “Rapid Expansion of Hypertensive INTRACEREBRAL HEMATOMA”

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