• question-icon

    What does my CT scan test report indicate?

default
Posted on Thu, 26 Nov 2015 in General Health
Question: The patient struck his head on the pavement after a P/U Truck hit his scooter. The initial Ct scan following the crash shows interparenchymal hemorrhage in the temporal lobe on the left with subdural hematoma as well as extensive subarachnoid hemorrhage. Pneumocephalus is seen in the temporal region---consistent with a basilar skull fracture in the left frontotemporal lobe with associated encephalomalacia. The radiologist's report states that the area of encephalomalacia is most likely related to the interparenchymal hemotoma in the left temporal lobe seen following the accident.

After the accident, the patient began hallucinating and has become delusional, He is aggressive and paranoid.

Question: Can hallucinations and/or delusions result from this type of injury. If so, please state a source of authority.
doctor
Answered by Dr. Alexander H. Sheppe 23 minutes later
Brief Answer:
Consultation

Detailed Answer:
Traumatic brain injury such as this can certainly result in psychosis. This is most common when the injury involves either temporal lobe, as it does in this case. Psychotic symptoms following traumatic brain injury include hallucinations, delusions, and aggression.

Below is a link to a recent (2009) review article abstract on the subject in the journal "Brain Injury." There should be many articles you can access searching for this subject on pubmed.com.

http://www.ncbi.nlm.nih.gov/pubmed/0000

My name is Dr. Sheppe, and I am an XXXXXXX psychiatrist working in New York City. For a personalized comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2242 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Pneumocephalus

doctor1 MD

Hi..my mother in law is in critical condition. The operation was performed on her last month to took out the tumor from the back of the eye. After...

doctor1 MD

My blood pressure is 91/55 with a pulse of 79. I generally run low...about 110 or less over 70. I had slight Pneumocephalus a couple of weeks ago...

doctor1 MD

Hi, Doctor, I am scheduled to have an intralaminar steroid injection in c- 6 on the 15th of this month. I want to know how badly this will hurt. I...

doctor1 MD

Hello. I had a cervical epidural injection for neck pain and arm numbness and pain (all on the left side) 11 days ago. I was under under anesthesia...

Get personalised answers from verified doctor in minutes across 80+ specialties

128 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Alexander H. Sheppe
  • Q - Suggest treatment for severe insomnia and anxiety

  • Q - Suggest treatment for delusional behavior and sporadic emotional turmoil

  • Q - Suggest ways to deal with a broken relationship

  • Q - Suggest alternative medication for schizophrenia

  • Q - What causes fatigue, hypersomnia and dry eyes?

  • Q - What causes severe headaches and seizure like symptoms?

  • Q - Suggest treatment for OCD with a serious symptom of compulsions to urinate

  • Q - What causes bumps on penis after non-penetrative sex?

  • Q - Does Provigil cause agitation?

  • Q - What causes irritable behavior after taking Buspar with SSRI and Lamictal?

backtotop2