BRAIN SWELLING

The next important concept is this: whenever the brain swells, it means the gyri get larger and the sulci get smaller

The sylvian fissure separates the frontal and temporal lobes, and it is the area
through which the carotid arteries enter and supply the brain,
and hence the place to look for blood when we are looking for

Clots are defined by:

• Size
• Symptoms and signs
• Shifts
• Side
• site

I expected you to identify were

the subfalcine herniation, the significant midline shift to the left
and contralateral hydrocephalus indicated by the enlarged temporal
horn. All these featu

Bleeding into the subarachnoid space is called subarachnoid

haemorrhage to distinguish it from bleeding into the substance
of the brain proper, which is called intracerebral haemorrhage
or intracerebral haematoma. The distinction is important
because spontaneous subarachnoid haemorrhage is most frequently
caused by aneurysm rupture, which is fatal in one third
of cases. Second haemorrhages carry even a higher fatality rate,
hence it is imperative to detect any subarachnoid haemorrhage
and treat the underlying aneurysm