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Treatment of diffuse axonal injury - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   This is for my son, a 7 year old male who suffered a TBI last June. He is starting to have what I would call small siezures every now and then. He is on Keppra and baclofen. He suffered a severe acceleration/deceleration injury with a second assault of axonal tearing. Why would he starting having seizures now and does this mean his brain is healing or getting worse? He is also starting to have repetative movements with his hands and legs. Will his brain start to heal or is he going to be in this condition permenantly.
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   let me read what you have typed
User :   This question was already awsered
User :   by you I believe
Doctor :   yes, I have just spoken to you.
Doctor :   do you have additional queries?
User :   I had a couple of more questions pop up
User :   Can you explain what a diffuse axonal injury means as in relation to the brain. I am still trying to learn all of the medical terms.
Doctor :   diffuse axonal injury means that the damage to the axon part of the nerve or the fibre is diffuse, affecting the protective lining of it
Doctor :   it happens due to trauma
User :   Now you said the nerve damage was permanent, is that what this is or can these fibers heal.
Doctor :   diffuse axonal injury usually hapens due to diffuse traumatic brain injury
Doctor :   treatment involves multidisciplinary approach
Doctor :   to help patient get better
User :   They said it happened when his head hit the front seat and then slammed in the back seat, They are optomistic for a 80 to 90 percent recovery
Doctor :   these involve multidisciplinary approach including doctors, nurses, physical and occupational therapists, and other specialists to create an individualized program designed to return the patient to the maximum level of function faster.
User :   Can I do anything at this stage to help with the recovery or just wait until he starts his rehab
Doctor :   discuss about his rehab with the treating doctor and ask to start it soon
Doctor :   such that he gets benefited the most
User :   OK, I am still trying to make sense of all of this after a year. Thanks again for your time.
Doctor :   it is fine. i am there to help you understand and proceed positively with your sons treatment.
Doctor :   do you have any further queries?
User :   Tons but hopefully they are tackled with his rehabilitaion. They give you this big book and expect you to become an expert in an instant. Thank you and have a good night
Doctor :   you can get back to me anytime if you have further queries or need explanation about things you do not understand
Doctor :   I will be glad to help you.
User :   thank you
Doctor :   thanks for consulting me. bye for now.
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