Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does An Episode Of Severe Vomiting And Headache In An Elderly Person Indicate?
Question: Hi, My grandmother 85 yrs suffered from severe vomiting one episode with headache post which she developed lt side hemiplegia 10 days back & on CT the same day detected to have hematoma in the rt thalamus. She was immediately hospitalized, post which she has been started on IV mannitol tds & IV augmentin , antacid & brain stimulator tab..The second day on admission she has severe vomiting again, one episode, post which was shifted to ICU with the same treatment for observation and RT inserted .After 5 days she was in wards and still hospitalized. She has on & off has irrelevant talk & behavior , unable to receognise place & person .Vitals have been stable throughout .Yesterday a repeat CT has been done which shows 1 cm increase in the hematoma
Brief Answer:
The improvement will be gradual
Detailed Answer:
Hello,
I have gone through your question and report and understand your concern.
The treatment for thalamic hemorrhage is right and needs to be continued.
The behavioral abnormalities may be due to electrolyte imbalance or involvement of thalamus itself.
The improvement will be gradual.
Drugs for agitation can be given like olanzapine or quitiapine.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist
The improvement will be gradual
Detailed Answer:
Hello,
I have gone through your question and report and understand your concern.
The treatment for thalamic hemorrhage is right and needs to be continued.
The behavioral abnormalities may be due to electrolyte imbalance or involvement of thalamus itself.
The improvement will be gradual.
Drugs for agitation can be given like olanzapine or quitiapine.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Kampana
Hi,
Have uploaded her CT reports on the day of admission and on the 10th day.
pls comment on the size of the hematoma .Seems to be worsened.
Have uploaded her CT reports on the day of admission and on the 10th day.
pls comment on the size of the hematoma .Seems to be worsened.
Brief Answer:
Continue treatment under the treating physician
Detailed Answer:
Hello,
The increase in hemorrhage size is expected in first 24 hours and early CT doesn't pick the actual initial size.
The repeat CT is not showing any significant increase.
No signs of raised intracranial pressure.
If patient is clinically stable or improving then nothing to worry.
Gradual improvement is expected.
Wishing good health and early recovery.
Regards
Dr N Kumar
Neurologist
Continue treatment under the treating physician
Detailed Answer:
Hello,
The increase in hemorrhage size is expected in first 24 hours and early CT doesn't pick the actual initial size.
The repeat CT is not showing any significant increase.
No signs of raised intracranial pressure.
If patient is clinically stable or improving then nothing to worry.
Gradual improvement is expected.
Wishing good health and early recovery.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
