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Investigations: ECG & ECHO : No RWMA, LV EF: 55%, Trivial TR CT Brain Large ICH in the left temporoparietal region with mass effect Midline shift Diffuse cerebral edema Diagnosis: Left Gangliocapsular bleed (ICH) with mass effect and IVH with obstructive hydrocephalus Systemic Hypertension Case Presentation: Day 1 The patient underwent an emergency Left Frontotemporoparietal (FTP) decompressive craniectomy with evacuation of ICH and tracheostomy under general anesthesia

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