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Study room 808
857 subscribers
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
192 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
Neurosurgery practical 46 ๐Ÿ’œ!
Photo
๐Ÿ“Œ4-CT scan
ู†ู„ฺฏู‡ hematoma ุŒ ูˆ ุงูƒูˆ ุงุญุชู…ุงู„ูŠู† :
ุงู„ุงูˆู„ / ุชูƒูˆู† ุตุบูŠุฑุฉ ุจุณ ุงูƒูˆ ุงู„ู€findings ุงู„ุซู„ุงุซุฉ ุงู„ุจุงู‚ูŠุฉ
ู‡ุฐุง ุงู„ู€CT negative ูˆ ุฎุทูŠุฑ ู„ุงู† ุงุฐุง ุชุฑูƒู†ุง ุงู„ู…ุฑูŠุถ ุญุณุจ ุงู„ู€ CT ูˆ ุงูƒูˆ findings ูŠู…ูƒู† ุชุชุฌู…ุน ูˆุฑู‡ ูุชุฑุฉ ูŠู…ูˆุช ุงู„ู…ุฑูŠุถ

ุงู„ุซุงู†ูŠ / ุชูƒูˆู† moderate to large
ุงู„ู‚ุฑุงุฑ ูŠูƒูˆู† surgery
โค1
180 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
๐Ÿ“ŒEpidural hematoma :
-ุชุตูŠุฑ ุจุณุจุจ ุชุฑูˆู…ุง ุชุณูˆูŠ tear ุจุงู„ู€middle meningeal artery

-ุชุชุฌู…ุน ุงู„ู€hematoma ุฎู„ุงู„ 10-20 min

-ุงูˆู„ ู…ุง ุชุตูŠุฑ ุงู„ุถุฑุจุฉ ูŠูู‚ุฏ ุงู„ูˆุนูŠ ูˆ ูŠุฑุฌุน ูŠุตุญู‰ ุจุนุฏูŠู† ูŠุฑุฌุน ูŠูู‚ุฏ ุงู„ูˆุนูŠ ู…ุฑุฉ ุซุงู†ูŠุฉ ุงูˆ ูŠู…ูˆุช ูˆ ู‡ุงูŠ ุงู„ูŠ ูŠุณู…ูˆู‡ู‡lucid interval ุงูˆ talk and die ูˆ ุญุฌูŠู†ุง ุนู†ู‡ู‡ ู‚ุจู„

-ู‡ุงูŠ ุงู„ู€hematoma ู…ู† ุชุชุฌู…ุน ุฑุงุญ ุชุนุชุจุฑ ู…ุซู„ ุงู„ู€mass ุชุถุบุท ุงู„ู€ุฏู…ุงุบ ูˆ ุชุฒูŠุฏ ุงู„ู€ICP ูˆ ุญุชู‰ ู…ู…ูƒู† ุชุณุจุจ herniation

ู…ู† ูŠุฒุฏุงุฏ ุงู„ู€ICP ูƒู„ุด ุฑุงุญ ูŠุณูˆูŠ Cushing response ุงู„ูŠ ู‡ูŠ hypertension , bradycardia , irregular breathing

- ุดู„ูˆู† ูŠุฌูŠ ุงู„ูƒูŠุณ ( ุงู„ู€clinical presentation) :
โœจHeadache
โœจDeteriorating conscious level
ู†ู‚ูŠุณู‡ ู…ู† ุฎู„ุงู„ ุงู„ู€GSC score ุดฺฏุฏ )
โœจfocal neurological signs ( dilating pupil , hemiparesis )
โœจCushing response

- ุงุฐุง ู„ุงุฒู… ู†ุฏุฎู„ ู‡ุงู„ู…ุฑูŠุถ ุนู…ู„ูŠุฉ ูˆ ุงุฐุง ู…ุง ุนุฏู†ู‡ ูˆู‚ุช ูˆ ู…ุง ู†ู„ุญฺฏ ู†ุณูˆูŠ CT ูˆ ู†ุดูˆู ุงู„ู€hematoma
ูู€ ู†ุณูˆูŠู„ู‡ emergency burr hole ุจุณ ุญุชู‰ ู†ูุฑุบ ุงู„ู€hematoma
โค1
177 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
Case epidural hematoma
โค1
173 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
๐Ÿ“ŒSubdural hematoma :

-More common than epidural

-ุชุตูŠุฑ ุจุณุจุจ ุชู…ุฒู‚ ุจุงู„ู€veins
ุชุชู‚ุณู… ุงู„ู‰
โœจacute : less than 3 days
โœจsubacute : 4-21 days
โœจchronic : more than 21 days
โค1
171 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
188 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
Case subdural hematoma
โค1
182 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
๐Ÿ€ู…ู‚ุงุฑู†ุฉ ุจูŠู† ุงู„ู€ epidural & subdural hematoma
โค1
173 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
๐Ÿ“ŒSubarachnoid hematoma:
ุงุณุจุงุจู‡
-Rapture of berry aneurysm
-Trauma & fracture base of skull lead to internal carotid aneurysm

ุงู„ู€clinical features:
โœจExplosive Headache
ุงุณูˆุก ุตูุฏุงุน ูŠู…ุฑ ุจูŠ ุจุญูŠุงุชู‡
โœจnausea & vomiting , DLOC /Coma
โœจsigns of meningeal irritation

- ุจุงู„ู€CT ุฑุงุญ ูŠุตูŠุฑ increased attenuation of CSF spaces (ู‡ูˆุงูŠ ุงู…ุงูƒู† ู„ูˆู†ู‡ู‡ ูุงุชุญ )
โค1
180 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
๐Ÿ€Management of Head injuries
โค1
175 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
๐Ÿ€CT in Head injury
โค1
175 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
๐Ÿ€Surgical intervention
โค1
187 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
๐Ÿ€Brain Herniation syndrome
ู‡ุงูŠ ู…ูู‡ู…ุฉ
โค1
206 viewsMustafa Ibrahim, 
Study room 808
Forwarded from Neurosurgery practical 46 ๐Ÿ’œ!
๐Ÿ€ุญุณุงุจ ุงู„ู€manitol
ู…ูู‡ู… ูˆ ุฌุงูŠุจูŠู†ู‡ ุณุคุงู„ ู„ุฃุญุฏ ุงู„ูƒุฑูˆุจุงุช
ูˆ ุดูˆููˆ ู‡ุฐุง ุงู„ููŠุฏ ูŠููŠุฏูƒูู…
โค1
253 viewsMustafa Ibrahim, 
Study room 808
ุดุจุงุจ ุงู† ุดุงุกุงู„ู„ู‡ ุงู„ุฌุฏูˆู„ ุญูŠูƒูˆู† 4 ุงูŠุงู… ูˆุงู„ุฎุงู…ุณ ู…ุฑุงุฌุนุฉ๐Ÿ‘๐Ÿป
ุงูˆู„ ูŠูˆู…ูŠู† ูŠูˆุฑูˆ
ูˆุฑุงู‡ุง ูŠูˆู… ูˆู†ุต ุงุทูุงู„
ูˆู†ุต ูŠูˆู… ู†ูŠูˆุฑูˆ
ูˆุงู† ุดุงุก ุงู„ู„ู‡ ุงู„ุงุฎูŠุฑ ู…ุฑุงุฌุนุฉ ูˆูŠุงู‡ุง ุญู„ูˆู„ ุงู…ุณูƒูŠูˆุงุช ูŠูƒูˆู„ูˆู† ูŠูƒุฑุฑูˆู† ูˆุงู† ุดุงุก ุงู„ู„ู‡ ู†ุญุงูˆู„ ู†ู„ู…ู‡ุง ุจู‡ู„ ุงูŠุงู…๐Ÿค
๐Ÿ™3
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Study room 808
Study room 808 pinned ยซุดุจุงุจ ุงู† ุดุงุกุงู„ู„ู‡ ุงู„ุฌุฏูˆู„ ุญูŠูƒูˆู† 4 ุงูŠุงู… ูˆุงู„ุฎุงู…ุณ ู…ุฑุงุฌุนุฉ๐Ÿ‘๐Ÿป ุงูˆู„ ูŠูˆู…ูŠู† ูŠูˆุฑูˆ ูˆุฑุงู‡ุง ูŠูˆู… ูˆู†ุต ุงุทูุงู„ ูˆู†ุต ูŠูˆู… ู†ูŠูˆุฑูˆ ูˆุงู† ุดุงุก ุงู„ู„ู‡ ุงู„ุงุฎูŠุฑ ู…ุฑุงุฌุนุฉ ูˆูŠุงู‡ุง ุญู„ูˆู„ ุงู…ุณูƒูŠูˆุงุช ูŠูƒูˆู„ูˆู† ูŠูƒุฑุฑูˆู† ูˆุงู† ุดุงุก ุงู„ู„ู‡ ู†ุญุงูˆู„ ู†ู„ู…ู‡ุง ุจู‡ู„ ุงูŠุงู…๐Ÿคยป