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What Does The CT Scan Report Indicate?
Question: Head injury 5 days back..dere is hyper dense extra axial collection measuring 8 mm in left frontler temporises parietal region...
Hyper dense fluid in cortical Salci of left temporal and parietal region..he is unconscious ...is dere any major problem
Hyper dense fluid in cortical Salci of left temporal and parietal region..he is unconscious ...is dere any major problem
Brief Answer:
If patient is unconscious after head injury then it is major problem
Detailed Answer:
Hi,
Thanks for writing in to us.
There is a significant head injury in the CT scan of the patient. There is some amount of bleeding in the brain and around it. Any head injury with patient unconscious is a major problem. It is important to know if there is significant pressure on the brain and how are the vital parameters.
Close monitoring is suggested and it is important to do repeat scan and see if there is any increase in the bleeding.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
If patient is unconscious after head injury then it is major problem
Detailed Answer:
Hi,
Thanks for writing in to us.
There is a significant head injury in the CT scan of the patient. There is some amount of bleeding in the brain and around it. Any head injury with patient unconscious is a major problem. It is important to know if there is significant pressure on the brain and how are the vital parameters.
Close monitoring is suggested and it is important to do repeat scan and see if there is any increase in the bleeding.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir dere hyper dense extra axial collections in temporal bone ..wht significance of dese...patient is now respond on pinching verbally he is trying to open eyes by couldn't open for XXXXXXX 10 seconds..I m also dentist pls explain me thoroughly why he is unconscious yet..
Brief Answer:
There can be micro hemorrhages in the brain
Detailed Answer:
Dear Dr
In many patients, it can take time to regain consciousness due to swelling of the brain after injury. Patient slowly improves and opening eyes for 10 seconds and responding to pain is a good sign.
Another cause of unconsciousness can be diffuse axonal injury which is not visualised on CT scan. It happens due to the effect of rotational forces during trauma which causes micro hemorrhages and MRI scan can show if it is there.
There is extra axial collection which is measuring 8 mm and this causing some pressure on the brain but I think the doctors are watching and there is no immediate need for surgery. There is something called mid line shift which is to be recorded to know if there is any increased pressure inside the head and the doctors are aware of it.
In head injury, first improvement is monitored for 24 to 48 hours and then for a week. If there is no worsening and patient is showing positive response to treatment then it is good sign.
At the same time also please discuss with doctors regarding general care of the patient like nutrition, bowel and bladder, urine output and avoiding complications due to immobility like deep venous thrombosis and bed sores.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
There can be micro hemorrhages in the brain
Detailed Answer:
Dear Dr
In many patients, it can take time to regain consciousness due to swelling of the brain after injury. Patient slowly improves and opening eyes for 10 seconds and responding to pain is a good sign.
Another cause of unconsciousness can be diffuse axonal injury which is not visualised on CT scan. It happens due to the effect of rotational forces during trauma which causes micro hemorrhages and MRI scan can show if it is there.
There is extra axial collection which is measuring 8 mm and this causing some pressure on the brain but I think the doctors are watching and there is no immediate need for surgery. There is something called mid line shift which is to be recorded to know if there is any increased pressure inside the head and the doctors are aware of it.
In head injury, first improvement is monitored for 24 to 48 hours and then for a week. If there is no worsening and patient is showing positive response to treatment then it is good sign.
At the same time also please discuss with doctors regarding general care of the patient like nutrition, bowel and bladder, urine output and avoiding complications due to immobility like deep venous thrombosis and bed sores.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank u so much sir...he is regaining consciousness nw..he opens eyes for 20 second and on verbal response..now problem is cough and air blocked in lungs.pneumothorax.doctors did chest tube operation one day after x Ray's..I hope dese symptoms wl subside..doctors says dere is need of tracheostomy due to difficulty of pipes through nose and mouth..is dis fine now for tracheostomy is it nt late??? Is it complicated procedure ya lyf saving???
Brief Answer:
Tracheostomy can be done anytime to secure air passage
Detailed Answer:
Dear doctor,
Thanks for writing back with an update.
Nice to know that your patient is improving. Tracheostomy is a procedure to enable proper breathing in patients who are not able to breathe normally. The problem right now is secretions are forming in the air passages which are causing difficulty to breathe. I am not sure if they have put him on ventilator or no. However tracheostomy can be done at any time and usually it is a temporary tracheostomy when done in patients of head trauma. Please discuss this point with the anesthetist and proceed as required.
Tracheostomy is a simple operative procedure and usually not complicated.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
Tracheostomy can be done anytime to secure air passage
Detailed Answer:
Dear doctor,
Thanks for writing back with an update.
Nice to know that your patient is improving. Tracheostomy is a procedure to enable proper breathing in patients who are not able to breathe normally. The problem right now is secretions are forming in the air passages which are causing difficulty to breathe. I am not sure if they have put him on ventilator or no. However tracheostomy can be done at any time and usually it is a temporary tracheostomy when done in patients of head trauma. Please discuss this point with the anesthetist and proceed as required.
Tracheostomy is a simple operative procedure and usually not complicated.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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