Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
185 Doctors are Online

Suffered a head injury leading to sub dural hematoma. Treatment? - Online Doctor Chats

Date : 26-Mar-2013
User rating for this question
Very Good Posted in: Head Injuries
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1230 Questions
Doctor:Dr XXXXXXX here
User:My father in law suffered a head injury leading to sub dural hematoma on feb 11th 2012
User:he has been hospitalised since then
User:but the problem is that there is a continuous deterioration of his condition
Doctor:May I know his age ?
User:he is 77 he is unable to swaloow food since the last 2 weeks---being fed by a rice tube
User:he is constantly drowsy and does not even open his eyes unless he is shaken very vigourously
Doctor:Do you have the CT or MRI reports with you now ?
User:yes i do
Doctor:Can you please read it for me ?
Doctor:MRI would be useful
User:MRI of the brain was not done
User:a CT scan and a CT angiograph was done
User:subdural hemorrhage is seen along posterior interhenispheric fissure and along tentorium
User:small hemorrhagic contusion is seen in the right high frontal subcortical white matter
Doctor:Ok ,the above report confirms the presense of the bleed
Doctor:but cannot help to define progress
User:all ventricles are mildly dilated
User:what can be done--doctor says surgery is not an option for him
Doctor:A MRI scan can show what is the damage to the brain tissue which is the main indicator of progress or cure
Doctor:yes, he is right surgery will not be useful.. it is the healing of the damaged brain which is important for his survival
Doctor:keeping age into consideration the healing process is not expected to be optimum in him hence the progress cannot be predicted
Doctor:its just wait and watch process with some stabilizing medications
User:he has been like this for more than a month--from the fact that he is deteriorating --does it seem like its not healing at all?
Doctor:could be a chance
Doctor:since I do not know the extent of the damage i could not comment exact
User:is it advisable to bring him back home? he is in the ITU, can monitoring be done at home---you know family members get a feel that they can try and nurse him back to health
Doctor:Yes, but its clear decision of the treating doctors who know more about your father in law
Doctor:If they accept the defeat and cant gaurentee a recovery then you can go ahead with your decision
User:they are saying that there isnt much to be done--but they havent done any fresh scans/MRI since 20th february---and they are keeping in the hospital because of recurrent infections leading to an elevated total count
Doctor:infections are very common and mai
Doctor:* and one of the reasons for detriorating condition
Doctor:he has to be managed for them
User:can infections be managed at home---last week he had developed meningitis and pneumonia which subsided after antibiotics were given but total count has shooted up again and now a different antibiotic has been started. previously he was on moropenem a very strong antibiotic also----he has APKD as well as a polycystic liver--can his body handle so much antibiotics
Doctor:Well there are antibiotics which are safer in kidney diseases.. the choice of antibiotics depends on many other factors which can be evaluated by the treating doctor
Doctor:If you plan to treat him in home and expect a cure , i would say that is impossible
User:i am very worried. do you think that a recovery is at all possible?
Doctor:As I said i could not comment as i do not know the exent of brain damage
Doctor:and it could be a tough thought for the treating doctors too
User:yes i do understand that. Thanks for your advice
Question is related to
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor