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How Long Does Recovery Take After Severe Head Injury?
Question: Urgent help:
Patient is unconscious for more than 60hrs, severe head injury and currently is on ventilators with life support in surgical ICU
Patient details: male age 45yrs, met with an accident on 4th Sep between 1200-1300yrs. after accident, no omitting,no external bleeding while ct scan shows internal bleeding. Was shifted to hospital after 40minutes while had first treatment in burhanpur n then drs. further referred him to XXXXXXX Currently in Sir aurbindo hospital in XXXXXXX
Attached are reports for.your reference
Dr. Said that they can't do surgery it will be all medications and they are unable to confirm time frame by when he will be able to recover or when he will be in conscious state. What are further scope of treatment?? Also if possible could you pls suggest a good neuro Dr. For this particular issue who can recall help us.
Patient is unconscious for more than 60hrs, severe head injury and currently is on ventilators with life support in surgical ICU
Patient details: male age 45yrs, met with an accident on 4th Sep between 1200-1300yrs. after accident, no omitting,no external bleeding while ct scan shows internal bleeding. Was shifted to hospital after 40minutes while had first treatment in burhanpur n then drs. further referred him to XXXXXXX Currently in Sir aurbindo hospital in XXXXXXX
Attached are reports for.your reference
Dr. Said that they can't do surgery it will be all medications and they are unable to confirm time frame by when he will be able to recover or when he will be in conscious state. What are further scope of treatment?? Also if possible could you pls suggest a good neuro Dr. For this particular issue who can recall help us.
Brief Answer:
Reports are not visible.
Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I feel sorry for the tough time you are passing through.I have gone through the CT report you have uploaded.It mentions that there are multiple brain haemorrhages including critical areas like posterior fossa and intraventricular region.There are Parenchymal haemorrhages along with subarachnoid and subdural components.It is difficult to evacuate the haemorrhages from multiple sites.Probably that's why neurosurgeons want to go for a conservative approach.
Prognosis does not appear to be good on basis of this CT report. However,is it possible for you to click an image of the CT scan and upload it here?That would make a better impression.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Reports are not visible.
Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I feel sorry for the tough time you are passing through.I have gone through the CT report you have uploaded.It mentions that there are multiple brain haemorrhages including critical areas like posterior fossa and intraventricular region.There are Parenchymal haemorrhages along with subarachnoid and subdural components.It is difficult to evacuate the haemorrhages from multiple sites.Probably that's why neurosurgeons want to go for a conservative approach.
Prognosis does not appear to be good on basis of this CT report. However,is it possible for you to click an image of the CT scan and upload it here?That would make a better impression.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hi, I have provided some attachments. Please review them.
Brief Answer:
As follows:
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
I could see only one attachment,which mentions short case history and advise to 'Shift to SAIMS Hospital'.
This case history mentions that the patient is unconscious. It does not mention about the GCS (Glasgow coma scale) score. So, it does not give a very good idea of the severity of coma and prognosis.
Please upload CT image. In this scenario,improvement in the consciousness will largely influence prognosis. Sooner the improvement in senses occur, better will be the outcome.
If you want to send some attachments further, you can also send as email to ' YYYY@YYYY ' with Subject as 'Attention: Dr Ajay Panwar'. It will be delivered to my email.
If you have some further questions, I shall be glad to answer.
Regards
Dr. Ajay Panwar,
MD, DM (Neurology)
As follows:
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
I could see only one attachment,which mentions short case history and advise to 'Shift to SAIMS Hospital'.
This case history mentions that the patient is unconscious. It does not mention about the GCS (Glasgow coma scale) score. So, it does not give a very good idea of the severity of coma and prognosis.
Please upload CT image. In this scenario,improvement in the consciousness will largely influence prognosis. Sooner the improvement in senses occur, better will be the outcome.
If you want to send some attachments further, you can also send as email to ' YYYY@YYYY ' with Subject as 'Attention: Dr Ajay Panwar'. It will be delivered to my email.
If you have some further questions, I shall be glad to answer.
Regards
Dr. Ajay Panwar,
MD, DM (Neurology)
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hi, I have provided some attachments. Please review them.
Brief Answer:
As follows:
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
I have gone through the attachments.He is on conservative management,which appears to be fine and rational.Prognosis as I already said,depends on improvement of his consciousness level.He can be continued with the same management.
If you have any further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
As follows:
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
I have gone through the attachments.He is on conservative management,which appears to be fine and rational.Prognosis as I already said,depends on improvement of his consciousness level.He can be continued with the same management.
If you have any further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr
Our question is still there as what is the expectancy of life, and what would be repurcations in both cases whether he is unconscious or in conscious state.
Today we observe that he is not responding to our touch which we was at least responding till yesterday night.
Pls reply in detail sir and in simple way as possible.Thank you so much
Our question is still there as what is the expectancy of life, and what would be repurcations in both cases whether he is unconscious or in conscious state.
Today we observe that he is not responding to our touch which we was at least responding till yesterday night.
Pls reply in detail sir and in simple way as possible.Thank you so much
Brief Answer:
Poor prognosis.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
It appears that his consciousness level has worsened today.That's a poor prognostic sign.In this case,he may not be able to sustain life and may ultimately die or may continue to be in comatose state for some period(sometimes months also).On the other hand,there are very remote chances of recovery.
If however,his consciousness level would have improved today,we could have hoped that he may survive.
I believe,that his chances of recovery now,are extremely poor.
If you have any further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Poor prognosis.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
It appears that his consciousness level has worsened today.That's a poor prognostic sign.In this case,he may not be able to sustain life and may ultimately die or may continue to be in comatose state for some period(sometimes months also).On the other hand,there are very remote chances of recovery.
If however,his consciousness level would have improved today,we could have hoped that he may survive.
I believe,that his chances of recovery now,are extremely poor.
If you have any further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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