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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Brain And Head Injury Be Treated?

C A S E S U M M E R Y      Miss Trupti Kawlae, F/13 years was admitted in Life Line Hospital at Nashik on dated 05/03/2003 due to Head Injury. On admission, patient was unconcious with unequal pupils Rt Lt C (4) decrebrations and NO H/O, convulsions, vomitting, ENT bleed.      CT Head showed (Dt.5/3/2003) (1)     Small haemorrhages on left deep parietal, corpus callosum, Right Basol ganglia & ventricles. (2)     Mild subarachnoid blood & cereral Edema. Patient had respiratory distress –chynes – strokes respectively Patient treated accordingly.       *Tracheostromy done on 05/03/2003. •     Taken on Ventilator support from 06/03/2003 to 09/03/2003. •     Tracheostromy closure on 01/04/2003. •     Received 2 (.) BT (b-VE) (3)     CT Head showed (Date : 16/03/2003) 1)     Resolving right temporo parietal contusion with increased Edema. 2)     Resolving Left parietal contusion and Intraventricular Blood. (4)     C.T. Head showed (Date 17/04/2003) 1)     Mild communicating hydrocephalus. 2)     A small resolving right basal ganglia haematoma S/o encephalomalacic changes. 3)     Right fronto parietal thin subdural hygroma.      *Hyperbaric Oxygen Theory (HBOT) given for a week (From 19/04/2003 to 25/04/2003) (5)     C.T.Head showed (Date 14/11/2003) (1)     Area of gliosis right Ganglionic Region. (2)     Suspicious left temporo – Parietal Infarct. Present Status :- (1)     Patient haemodynamically stable (bed ridden) (2)     BP/Intake/Output maintained. (3)     Concious/obey`s simple commands (4)     Moving all fan limbs (5)     Right sided extrimities spasticity and fixed deformation. Request :_      Requested for extending the co-operation/help & treatment to brain due to Head Injury.      Thanking you,                                         Yours faithfully,                                     ( U. M. KAWALE
Tue, 19 Jun 2018
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Neurologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Unfortunately the damage to the brain caused by that trauma is not reversible, there is no medication or procedure which can bring back the lost brain cells. Surgery may be done in the initial days to evacuate compressing blood and reduce pressure inside the skull, but it can't do much for the dead tissue. It is a matter of the left brain cells being able to compensate for the lost ones. Only time will show how much improvement there will be from that compensation, the young age is a factor in its favor, but on the other hand the bigger the initial damage the lower the chances and from your description damage was very severe.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Brain And Head Injury Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Unfortunately the damage to the brain caused by that trauma is not reversible, there is no medication or procedure which can bring back the lost brain cells. Surgery may be done in the initial days to evacuate compressing blood and reduce pressure inside the skull, but it can t do much for the dead tissue. It is a matter of the left brain cells being able to compensate for the lost ones. Only time will show how much improvement there will be from that compensation, the young age is a factor in its favor, but on the other hand the bigger the initial damage the lower the chances and from your description damage was very severe. Hope I have answered your query. Let me know if I can assist you further.