HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

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

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Falling Unconscious. Had An Accident. Done CT Scan. Suggestions?

My father is admitted in hospital due to an road accident. CT Scan reports (4 reports) are mentioned below.Still he is not conscious even after 27 days in ICU care in a private hospital.Anyone can help me to get a suggestions on this. SCAN REPORT -------------------- SCAN 1 DATE & TIME:02.10.2012 ,11.30PM Intracerebral hemorrhage of size-3.8x2.8x6 cm seen in left tempero-parietal region with perilesional edema . Multiple contusional hemorrhages seen in right tempero-parietal region with significant edema Subdural hemorrhage of maximum width 4mm seen along right fronto-pariental region Subrachnoid hemorrhage seen in right sylvian fissure ,supratentorial region,inter-hemispheric fissure and cortical sulci of right frontal and pariental lobes No evidence of midline shift No evidence of interventricular hemorrhage All the ventricles appear mildly dilated Small intracerebral hemorrhage of size 1.4x1.4x1 cm seen in the high frontal white matter region Fracture left zygomatic arch.Fracture squamous part of left temporal bone and fracture left parietal bone with soft tissue swelling and subgaleal hematoma Hair line fracture orbital plate of frontal bone Small hematoma with air pockets (orbital emphysema) observed in the lateral extraconal space of left orbit with periorbital soft tissue swelling.Eyeball appears normal.Lateral rectus muscle is slightly pushed medially Collection seen in left external ear, middle ear and mastoid air cells.Fracture bony part of left external auditory canal and mastoid part of temporal bone Collection seen in right middle ear and mastoid antrum Hemosinus observed in right sphenoid sinus ,bilateral maxillary and ethmoidal sinuses Collection seen in posterior aspect of both nasal cavities. IMPRESSION Intracerebral hemorrhage in left tempero-parietal region with perilesional edema. Small intracerebral hemorrhage in the high frontal white matter region Multiple contusional hemorrhages seen in right tempero-parietal region with significant perilesional edema Subdural hemorrhage of maximum width 4mm seen along right fronto-pariental region Subrachnoid hemorrhage observed in the mentioned areas No evidence of midline shift,No evidence of interventricular hemorrhage Fracture left zygomatic archFracture squamous part of left temporal bone and left parietal bone with soft tissue swelling and subgaleal hematoma Small hematoma with air pockets (orbital emphysema) observed in the lateral extraconal space of left orbit with periorbital soft tissue swelling.Eyeball appears normal.Lateral rectus muscle is slightly pushed medially Collection in the above mentioned areas seen. SCAN 2 DATE & TIME:03.10.2012,09.00AM Intracerebral hemorrhage in left tempero-parietal region now measures 3.2x4x9cm(increased compared to previous CT) Perilesional edema increased compared to previous CT Perilesional edema around Multiple contusional hemorrhages in right tempero-parietal region increased compared to previous CT No evidence of midline shift Ventricles are dilated with evidence of intraventricular hemorrhage in the left lateral ventricle and 4th ventricle in the present study. Thin subdural hematoma along right fronto-pariental region now decreased in size. Subarachnoid hemorrhage on previously mentioned areas appear increased in the present atudy and is also seen in basal cistern. Brain stem and cerebellum appear normal All other findings are the same as in the previous scan report SCAN 3 DATE & TIME:04.10.2012,09.30AM Intracerebral hemorrhage in left tempero-parietal region now measures 5.8x3.2x10cm(increased compared to previous CT) Perilesional edema increased compared to previous CT Contusional hemorrhage in right temero-parietal region with perilesional increased compared to previous CT Subdural hemorrhage along right fronto-parietal region now measures 6mm in maximum width. No evidence of midline shift Intraventricular hemorrhage is now seen in both lateral ventricles and 4th ventricle(increased compared to the previous CT) Subarachnoid hemorrhage is previously mentioned area remain the same as such. Soft tissue swelling and subgaleal hematoma in left temporo-parietal region increased in size. Other findings are the same as in the previous CT report SCAN 4 DATE & TIME:11.10.2012,10.45AM No evidence of midline shift Intracerebral hemorrhage in left tempero-parietal region now measures 8x2.8x4.7cm in size Perilesional edema decreased compared to previous CT Intraventricular hemorrhage seen in both lateral ventricles remains the same compared to the previous CT Intraventricular hemorrhage is in the 4th ventriclereduced.Ventricle dilation remains the same. Contusional hemorrhages in right temporo-parietal region decreased compared to previous CT.Perilesional edema also decreased compared to previous study Subdural hemorrhage along right fronto-parietal region reduced in width and now measures only 2.3mm in maximum width. Subarachnoid hemorrhage in previously mentioned areas remains as such.compared to the prvious study and is also seen in the intratentorial region in the present study All other findings are the same as in the previous scan report.
Tue, 10 Dec 2013
Report Abuse
Neurologist 's  Response
CT scan shows improvement and probably it is post traumatic epilepsy.Did your father made EEG at hospital?Wishing you the best
I find this answer helpful

 1 user finds this helpful

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Bone fracture


Loading Online Doctors....
Falling Unconscious. Had An Accident. Done CT Scan. Suggestions?

CT scan shows improvement and probably it is post traumatic epilepsy.Did your father made EEG at hospital?Wishing you the best