Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

123 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

CT scan showed parietal bone fracture with left SDH with SAH. Any advice?

Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 5689 Questions

default
Posted on Mon, 10 Dec 2012 in Brain Tumor
Question: Hi Sir,
My brother met with accident and CT-brain concludes that XXXXXXX RTA with right and left parietal bone fracture with left SDH with SAH,,,,,No vomiting and patient is normal and conscious but feeling headacheplease advice on the next steps
doctor
Answered by Dr. Sudhir Kumar 25 minutes later
Hi,

Thank you for posting your query.

Based on the description, it seems to be a mild to moderate head injury.

As he is conscious, there is no need to worry.

Regarding treatment, if the fracture is depressed (pressing on the underlying brain), it would require surgery. If it is not depressed, surgery is not required.

Regarding SAH and SDH (these refer to different types of bleeding in the brain), surgery is required it they are big and causing mass effect on the brain, otherwise, one has to wait and watch.

He should be monitored in the ICU, and carefully observed.

Please get back if you have anymore queries.

Best wishes,

Dr Sudhir Kumar MD DM XXXXXXX consultant Neurologist
Apollo Hospitals, Hyderabad

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir Kumar 42 minutes later
Hi Sir,

Uploaded the discharge summary sheet treatment given for 12 hrs ( last night 10:30 to today morning 11 IST hrs)
we have requested for discharge from hospital as he is not willing to stay at hospital at any cost and now he is taking rest at home
but we dont want to take risk and planning to consult consultant ,
please let me know your availability tomorrow
In case if surgery needs ,what could be the cost ,,the reason why am asking is he doesn't have any insurance ( i took insurance for him today afternoon )...

please suggest me the best sir
doctor
Answered by Dr. Sudhir Kumar 1 hour later
Hi,

Thank you for getting back.

I have gone through the discharge summary.

I would be pleased to see your brother and offer my medical advice. You can XXXXXXX me at Apollo Hospital, Jubilee Hills branch between 11.30 am and 3 pm tomorrow (please call 040-0000/0000 for more details).

If surgery is required, it usually costs 1-1.5 lakhs. However, I hope that surgery is not required.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  

Recent questions on  Neuro trauma

doctor1 MD

A door and my left forehead collided Thursday morning. I do have a concussion. Haven t been to emergency. My head still hurts; feels like it does with a fever. Feel pressure around my left eye. Eyes feel better closed. Is this natural progression of a concussion or should I got emergency?

doctor1 MD

My friend was beaten up a few weeks ago and his head was stamped on which caused an acute subdural hematoma. He was left 4 about an hour b4 the ambulance was called but before the got there he d gone into a coma. He had brain surgery but now he s in the vegetative state. Wil he ever come out of this?? He also had to have some of his brain removed because it was in his neck and was just mush..What are his chances..

doctor1 MD

My husband suffered a head injury last year from falling off of a roof. His skull was fractured and he had some bleeding on the brain.

This morning he woke up dizzy, sweating and with nausia. Could this be a result of the fall this far out? Please help.

doctor1 MD

I was having pounding headaches at the base of my head where i couldn't even look down. I never had high blood pressure before in fact it is normally low. My blood pressure is 170 over 98, I did have a fall off a chair at work a month ago so they are doing a head scan to see if it isn't a post concussion. What do you think it could be?

doctor1 MD

I am a 65 years old woman. About 10 years back, I fell down from a stool with my head hitting the floor of living room in my house. Although I did not feel much pain at that time and I was alright since then. But nowadays, from the past one month,...

doctor1 MD

Hello sir My uncle got below situation: Fresh non hemorrhagic infracts on day - 1, involving both half of cerebellar hemisphere, left occipital & temporal region, right half of pons. After 2 days treatment with Enoxaparion, fresh MRI indicates...

doctor1 MD

Hi a little over 24 hours ago i fell asleep at my dining room table. Sadly, I fell out of the chair and hit my forhead on the floor, which is concrete. Ouch is right... Pretty sure I woke up right before it happened, woke up from my sleep. After I...