A 39-year-old female was involved in a bus crash. On scene she was unconscious w

Question

A 39-year-old female was involved in a bus crash. On scene she was unconscious with cuts on her arms, face, and scalp. She gained consciousness on the way to the hospital and was agitated and combative. Paramedics observed muscle weakness in her right hand with a near complete paralysis of the right upper extremity and a partial paralysis of the right lower extremity. A head CT revealed an acute subdural hematoma and an extensive subarachnoid hemorrhage. Doctors noted she could follow commands, but had difficulty speaking in complete sentences. Surgery to remove the clots was performed immediately and significant improvement was seen two weeks later in follow-up appointments.

1. Based on the observed signs, which of the four regions of the brain were affected. What evidence did you use to determine this?

2. Which side of the brain was involved in the injury? What evidence did you use to determine this?

3. What specific parts of the brain identified in question 1 are being affected by the injury to cause the muscle weakness and language problems?

4. Relative to the meninges, describe the location of the bleeding revealed on the CT scan.

Explanation / Answer

1.the four main reigion of the brain affected by this accident is between dura matter and arachnoid matter. And between skull and outer endosteal layer of dura matter and menniges.

2.as patients suffering with unconscious. Mainly there is defect on middle meningeal artery,anterior ethmoideal artery,transverse and sigmoid sinuses.

3.meninges or dura part of the brain.

4.intracranial bleeding

4.

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