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Radiology Neuroradiology ae4c25fc

Which of the following is associated with hyperdensities in sulcal spaces,basal cisterns and anterior hemispheric fissure?

A
Subdural hematoma
B
Extradural hematoma
C
Subarachnoid hematoma
D
intraparenchymal bleed
High-Yield Explanation
Subarachnoid Hemorrhage Bleeding in area between arachnoid and piamater mambranes (subarachnoid space) Usually presents with sudden onset of severe headache/ worst headache of life. mostly around the circle of willis. m/c/c of SAH is head trauma. Diagnosis :- On NCCT shows Hyperdensities in sulcal spaces,Syln fissure, Basal cisterns and Anterior interhemispheric fissure. Xanthochromia (of CSF) is indicative of SAH; if CT scan is negative. IOC for Acute SAH(<48 hrs)- NCCT IOC for Chronic SAH(>48hrs)- MRI Management :- Tripple H therapy (Hypeension/Hypervolemia and Hemodilution) is used to treat and prevent cerebral vasospasm after aneurysmal subarachnoid hemorrhage(SAH). Repair of aneurysm- endovascular coiling and surgical clipping.

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