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Had Accident, Given Sleeping Injection. Done With CT Scan And Prescribed Epsolin And Strocit. Suggest?

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Posted on Fri, 5 Jul 2013
Question: Hi Sir,

My uncle met with accident .He spoke for 15 min ,he called home that he met accident .After wards he is kind of unconscious .Later he is shouting some words related to his work and his family .
We have admitted him in hospital ,they have given sleeping injection . In between he is saying I am alright ,will go home ,asking I am feeling to go for urine .But most of the time he is sleeping due to the sleeping injection .

Doctor suggested not to give any sleeping injection .They want to observe him ,reactions without sleeping pills.

I am attaching the CT scan reports .Please suggest whether we are going good treatment and further actions we need take . i READ THE DOCTOR SHEET AND OBSERVED FOLLOWING MEDICINE NAMES .

1. EPSOLIN 500MG
2.STROCIT 500MG
3.NOOTROPHIL 6ML

attached two scan reports .

doctor
Answered by Dr. Sandhya Manorenj (40 minutes later)
Hi,

Thank you for writing in.

I understand your concern.Based on the details you have given your uncle met with an accident leading to head injury.I have gone through the CT scan brain done on 14 and 15th of this month.

CT scan brain revealed brain damage, contusion of left frontotemporal lobe of brain ,left subarachnoid hemorrhage(bleed in sub arachnoid space, which is the space between layers of meninges covering the brain), and (R) preseptal edema and parietal subgaleal hematoma.


Successive CT scan shows same, there is no further new bleeds, or extension of hematoma which is a good sign. Your doctor suggestions of stopping sleeping medicine is correct and appropriate.Continue with same treatment.

If he was my patient here I would have started small dose of mannitol for edema, in addition to above.

Hope this will help you

Regards

Dr Sandhya Manorenj
Neurologist
Hi Tech City
Hyderabad
Above answer was peer-reviewed by : Dr. Vasanth
doctor
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Follow up: Dr. Sandhya Manorenj (40 minutes later)
Mamm,
inn these casess howw manyy daysys itt take to patientt too comee too normall.
thankss.
doctor
Answered by Dr. Sandhya Manorenj (23 minutes later)
Hi,

Based on neurological examination especially level of conciousness (glassgow coma scale > 10) one can tell the days to recover.

If he is conscious , and does not have R) hemiparesis ( can occur with left frontotemporal bleed and sub arachnoid haemorrhage) then early chance of recovery.

On an average he needs to be in hospital for a week to 10 days based on CT scan report.

Radiological recovery takes 3 months.

Hope this will help you.


Note: Get 1 to 1 help with your critical health concerns.Click here..

Above answer was peer-reviewed by : Dr. Vasanth
doctor
Answered by
Dr.
Dr. Sandhya Manorenj

Neurologist

Practicing since :1998

Answered : 479 Questions

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Had Accident, Given Sleeping Injection. Done With CT Scan And Prescribed Epsolin And Strocit. Suggest?

Hi,

Thank you for writing in.

I understand your concern.Based on the details you have given your uncle met with an accident leading to head injury.I have gone through the CT scan brain done on 14 and 15th of this month.

CT scan brain revealed brain damage, contusion of left frontotemporal lobe of brain ,left subarachnoid hemorrhage(bleed in sub arachnoid space, which is the space between layers of meninges covering the brain), and (R) preseptal edema and parietal subgaleal hematoma.


Successive CT scan shows same, there is no further new bleeds, or extension of hematoma which is a good sign. Your doctor suggestions of stopping sleeping medicine is correct and appropriate.Continue with same treatment.

If he was my patient here I would have started small dose of mannitol for edema, in addition to above.

Hope this will help you

Regards

Dr Sandhya Manorenj
Neurologist
Hi Tech City
Hyderabad