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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Disorientation Post Head Injury In An Elderly Person?

Hi, our 90 yrs old mother had a serious fall 3 weeks ago fracturing her head and had two bleeds between the brain and the skull. She is now out of hospital and back in the aged care facility, however there are times when you ask her a question and she stares straight ahead and does not look like she heard you or took in any of the question. When we talk again, she still has a blankness to her eyes...what could this be?
Thu, 5 Jan 2017
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Internal Medicine Specialist,  's  Response
Hello and welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Considering her age and history of accident, it could be a case of chronic subdural hematoma. Patients with this condition often are disorientated and may even have mild degrees of amnesia or memory loss. Try to be patient with her. Love and care is what she needs at this age. However I would suggest a consultation with a neurologist and a follow up with a CT scan to rule out any serious brain haemorrhage. In case of any emergency like loss of consciousness or convulsions get immediate medical assistance.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Deepti Shivakumar
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What Causes Disorientation Post Head Injury In An Elderly Person?

Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Considering her age and history of accident, it could be a case of chronic subdural hematoma. Patients with this condition often are disorientated and may even have mild degrees of amnesia or memory loss. Try to be patient with her. Love and care is what she needs at this age. However I would suggest a consultation with a neurologist and a follow up with a CT scan to rule out any serious brain haemorrhage. In case of any emergency like loss of consciousness or convulsions get immediate medical assistance. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Deepti Shivakumar