Brief Answer:
Depends on the SIZE of the STAIN

Detailed Answer:
Good morning. My name is Dr. Saghafi and I am a neurologist from the XXXXXXX OH region of the world. I don't know exactly where you're from but greetings to wherever it may be.

I am going to guess that by "blood stain" you are referring to either a bruise that is seen by way of either a CT or an MRI and that you are not meaning that there is an actual larger COLLECTION of blood into a small pool underlying the skull or pressing against the brain.

The options are:

1. Leave alone and allow the body to heal itself
2. Perform surgery to remove the accumulated blood (if any has accumulated).

In the first case we would simply treat the patient for what was most likely a concussion of some sort for headaches, mild swelling of the brain perhaps but nothing that should cause major changes in their levels of consciousness or state of mind. They may have a heckuva headache even with just a bruise but it shouldn't be "off the charts" so to speak or in terms of conscious levels. So again, no aggressive therapy needed.

On the other hand in the 2nd case surgery would need to be performed if the patient became obtunded, stuporous, had a hard time staying awake and alert, had slurred speech, or suffered a paralysis or sudden and ongoing weakness on one side of the body vs. the other. Also, if headaches developed and became worse over a period of time and perhaps, vomiting became obvious and the patient then, developed other problems such as swallowing difficulties. Then, these would all be rather important (and in some cases URGENT) warnings that surgery needed to be performed right away either through a burr hole with suction or by actually removing part of the skullcap itself and removing the accumulated blood surgically.

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CLOSING THE QUERY on your end so that the network may process, archive, and properly credit this case for future reference will also garner my thanks.

Please do not hesitate to contact me directly in the future by looking me up on this network and sending questions to my specific attention (Dariush Saghafi, M.D.). You may also get to my specific webpage at:

http://doctor.healthcaremagic.com/doctors/dr-dariush-saghafi/68474

This case required 11 minutes physician specific time for review, research, and final draft documentation for envoy.

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Brief Answer:
Need to UPLOAD your files to this network

Detailed Answer:
Good morning to you Mr.? or Ms.? Onome efe I do not know technically how to instruct you in the following, however, if you had digital images of the CT scan, the MRI, or the MRA of your sister's brain OR if you have the radiology reports and you are able to scan those into your computer; you will then, be able to UPLOAD this information to this network as part of your questions so that I can see them.
Or
You can send to YYYY@YYYY and subject as ATTN: Dr. Dariush Saghafi.
In the mean time, I've thought of your description some more of "blood stain" on the brain and again, my feeling is that your sister's neurosurgeon's are either talking about an area which has been BRUISED just as would happen to your skin if you were hit it very hard against something. And so if your sister suffered a blow to the head for instance as in a fall or car accident and struck her head on the ground or such then, a BRUISE or CONTUSION, or "blood stain" could appear on a scan.

The other thing the surgeons could be referring to would be a small collection of BLOOD itself in an area of the brain either as the result again of a trauma or the bursting of an aneurysm, or a spontaneous bleed which often occurs in patients with uncontrolled hypertension or who have vascular malformations other than aneurysms which can sometimes "leak" their contents which accumulate.

Any of these types of situations can lead to headaches, nausea, vomiting, or reduction in the alertness of an individual as well as other symptoms such as would be seen in stroke, etc.

I hope this clarifies a bit more some questions you may have and I'd be happy to look at the files if they can be uploaded to the system. Please let me know if you can accomplish that and I will look at things and give you a better interpretation of what's going on. Do you have more information as to what happened to your sister that she got into this situation? Were the neurosurgeons called into this case because perhaps it was thought they could REMOVE this "blood stain"? Or was this an emergency room case of some sort where she was rushed to the hospital?

Please don't forget that your written feedback as well as a STAR RATING to this question are greatly appreciated if you've found the information of value.

And also, CLOSING THE QUERY on your end so that the network may process, archive, and properly credit this case for future reference will also be largely appreciated.

Please do not hesitate to contact me directly in the future by looking me up on this network and sending questions to my specific attention (Dariush Saghafi, M.D.). You may also get to my specific webpage at:

http://doctor.healthcaremagic.com/doctors/dr-dariush-saghafi/68474

This case required 14 minutes physician specific time for review, research, and final draft documentation for envoy.

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Brief Answer:
Sounds like we've switched problems?

Detailed Answer:
Good morning. I'm sorry that your sister is having pain in what sounds to be the lower back and hips. Are we talking about a separate problem from the one we were discussing before which was the "blood stain" on the brain? I just want to be sure there is nothing more to clear up on that question. If you would like to upload information to the system in the form of digital images of either her CT scan of the head or MRI I will be happy to look at them and give you an interpretation. As well, if the reports are available I can look at those and give you an assessment.

In this new scenario and with the fact she recently had a fall in the bathtub it is possible that the back and hip pain she is having are consequences from the fall. However, you also mention that she is having these pains in the face of urination she was doing while describing pain. Is it possible that she may also have a urinary tract infection or could she have injured her kidneys in the process of the fall.

To answer these questions she will need an examination of both the urine to check for an infection or blood as well as an examination to check for trauma to the back, hips, or internal organs such as kidneys.

I hope this information is of benefit to you.

Please don't forget that your written feedback as well as a STAR RATING to this question are greatly appreciated if you've found the information of value.

Also, CLOSING THE QUERY on your end so that the network may process, archive, and properly credit this case for future reference will also be largely appreciated.

Please do not hesitate to contact me directly in the future by looking me up on this network and sending questions to my attention (Dariush Saghafi, M.D.). You may also get to my webpage at:

http://doctor.healthcaremagic.com/doctors/dr-dariush-saghafi/68474

This case required 9 minutes of physician specific time for review, research, and final draft documentation for envoy.

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Brief Answer:
Report doesn't suggest "blood stain" on brain

Detailed Answer:
Thank you for the report. You didn't ask a specific question so I will simply give you a general interpretation for your edification.

Your sister suffered a fall and suffered a large cut or gash on the side of the head which was evaluated and repaired (I assume though they do not say). Her level of consciousness and alertness at the time presentation was EXCELLENT..in fact, highest it could be with her Glasgow Coma Scale (GCS) of 15 which is the highest course possible. They also state that she suffered 3 tonic clonic seizures/convulsions while in the ER and this prompted her to be given anti-epileptic medications. She was also detected as having a left carotid artery aneurysm. Unfortunately, there are no measurements in the reports so I don't how big anything really is.

It would seem that they sent her for a f/u consult with someone but they don't say exactly who....would seem to be a neurologist.

I do not see any comment in this report as to who they referred the patient but my guess is that this is the first neurologist she's had since her fall, etc.

Would you please consider providing some written feedback to this conversation?

CLOSING THE QUERY on your end so that the network may process, archive, and properly credit this case for future reference will also be largely appreciated.

Please do not hesitate to contact me directly in the future by looking me up on this network and sending questions to my attention (Dariush Saghafi, M.D.). You may also get to my webpage at:

http://doctor.healthcaremagic.com/doctors/dr-dariush-saghafi/68474

This case required 16 minutes of physician specific time for review, research, and final draft documentation for envoy.

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