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Severe headache followed with unconsciousness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2094 Questions
User :   My Mother is 72 yrs of age and recently got severe headache and became unconscious. Took her to hospital and after doing CT scan it was found that internal hemorrhage due to aneurism . She is still unconscious till now. At this age what is the best treatment you suggest -medication or surgery( if surgery which one, coiling or clipping) with medication.
Doctor :   Hello.
Doctor :   Let me read your query.
Doctor :   Since when is she suffering from this condition?
User :   Since thursday
Doctor :   Ok.
Doctor :   Does she have any past history of hypertension?
User :   No
Doctor :   Ok.
Doctor :   What did the doctor say about her condition?
User :   Her condition is critical and she is in grade 4
Doctor :   Are doctor planning for any surgery?
User :   I am confused as one doc is telling to go for medication and one for surgery
Doctor :   In your case you have go by the treating doctor,
Doctor :   as they have the best knowledge
Doctor :   of the condition
Doctor :   of your mother.
Doctor :   Coil Embolization or Endovascular Coiling has less risk than clipping
Doctor :   But it again depend on the treating surgeon.
User :   Yes that is correct but do you suggest surgery at this age is a better optyion compared to medication? Will she be completely alright after the surgery??
Doctor :   He might be the best person to make a decision.
Doctor :   The treating option depends on the amount of bleed, and other condition.
User :   Actually the thing is, the doctors have said that the bulge caused by the aneurism has ruptured leading to collection of blood in the sub-arachnoid spaces of the skull and two ventricals(according to the tomographic scans...), Doctors have also said that becuase of the heamorrhage, both sides of the brain have been affected at this stage...will siurgery at this point be OK????
Doctor :   It will prevent further damage.
User :   If we choose not to go for surgery and only provide med., do you think this can be equally effective as the surgery and how long do you think it will take for her to recover??
Doctor :   Medication will take little longer .
User :   How long?
Doctor :   You can only say after going through the condition
Doctor :   of the patient.
User :   if we dont go for surgery(i.e. we opt for med.), can you tell me what the chances are for next rupture/heamorrhage(IF ANY)...
Doctor :   There is a possible chance.
User :   And also plz. tell me WHAT IS TIME PERIOD approx. for the next rupture...
Doctor :   What is the condition of the blood vessels?
Doctor :   Are there any more aneurysm present?
User :   The bulge caused by aneurysm has been ruptured and the blood is out...
User :   So, what do you think....
Doctor :   Any other vessels affected ?
User :   As far as the doctors have said, its only the bulge that has ruptured and no other vessel....
Doctor :   Ok.
Doctor :   It looks like only one vessel is affected.
User :   So, when could the next possible rupture be?
Doctor :   Then there are very less chance of recurrent rupture .
Doctor :   It is tough to predict next rupture in anybody.
User :   Also, according to the Doctors, it seems that The CSF is trapped inside the cranium because of being surrounded by the blood(which as I have said before has already spread in the sub-arachnoid space)....So what do you think of that??
User :   so thay are trying to withdraw the fluid with a pipe or something....
Doctor :   Once the clot is removed, it should fine.
User :   What will be her cond. after the clot is removed(with med. and with surgery separately)??
Doctor :   She will be better after the clot is removed.
User :   do you think she would have any permanent disability or severe damages???
Doctor :   It can be said only after the clot is removed.
User :   so as Ive said earlier the blood has spread to both the halves of the brain can you list the possible damages??
Doctor :   You have give exact extent of damages.
User :   GRADE 4 stage...thats all we know now...
Doctor :   It is tough to say from that.
User :   Doctors have also said that she may slip into coma anytime....
Doctor :   you have to consult a neurologist for that.
Doctor :   Shall i recommend one for you.
User :   please recommend a good, affordable neurologist in Kolkata....
Doctor :   where are you treating her now?
User :   AMRI hospitals but were finding it expensive....
Doctor :   Ok.
Doctor :   It is better to get good treatment.
Doctor :   Though it may cost little extra.
User :   What is the general cost of surgery and post surgery expense?
Doctor :   You can consult our expert neurologist for second opinion.
Doctor :   Go to our web site and go to specialist opinion.
Doctor :   You can find our neurologist.
User :   Can you personally recommend someone in ??
Doctor :   Is there any thing else i can help you with?
User :   Arent you a neurologist? I thought you were one, because we were discussing stuff regarding aneurysm....
Doctor :   I'm general doctor.
User :   Oh i see...
Doctor :   Giving information from what i know.
Doctor :   Is there any thing else i can help you with?
User :   Can you suggest some neorologistwith whom I can chat
Doctor :   No neurologist on chat.
Doctor :   Are you there?
User :   yes
Doctor :   Is there any thing else i can help you with?
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