Semi-conscious state, low pulse rate, unable to open his eyes or move his left side, not responding to any commands.
The purpose of this case study is to highlight key clinical findings in a patient diagnosed with subdural hematoma. larger hematomas are treated with decompression surgery. Additional surgery may be needed to remove large or thick blood clots if present. Sometimes hematomas cause few or no symptoms and are small enough that they don’t require surgical treatment. Dr. Sawhney specializes in performing complex brain surgeries and brain tumor surgery in Mumbai, in this fashion for more than fourteen years. Dr. Gurneet Sawhney, regarded as one of the best neurosurgeon in Mumbai for performing Microneurosurgery, Neuroendoscopy, and Minimally Invasive Spine Surgeries.
The current case study describes a patient with subdural hematoma. Its life-threatening condition is caused by a sudden hemorrhage or bleeding between the brain and its outermost covering. subdural hematoma is a medical emergency and can be fatal if it is not treated within time. With treatment, however, the prognosis is good.
A 45 YO man arrived at the emergency room in a semi-conscious state with a low pulse rate. He was unable to open his eyes or move his left side. He was not responding to any of the commands either. A CT scan was done to confirm the diagnosis of growing pressure within the skull (intracranial pressure). Also, it was necessary to understand the extent of internal bleeding between the brain and its outermost covering.
A life-saving surgery was performed on him to remove the hemorrhage after seeking the consent of his family. After the surgery, the pressure on the brain was reduced to a great extent. The patient was kept on a ventilator for 1 day to ensure improvement in brain functioning. The post-surgery CT scan revealed recovery in the brain.
Treatment and prognosis
If prompt neurosurgical intervention is available then prognosis is good.
Physical Examination & Tests
The sedation was stopped on the next day after the surgery and the 2nd day after the surgery, the patient was taken off the ventilator support. After which he was put on physiotherapy. On the 4th day after the brain surgery, he was shifted to the general ward and discharged on the 7th day. The patient received a new lease of life as he received immediate and suitable medical treatment especially the life-saving surgery. As of now, the patient is absolutely fine and enjoys his passion for long drives. With immediate treatment & timely surgery on the patient, we were able to revive him out of this deadly condition of coma.