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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Mental Disbalance After An Accident. What Should Be Done?

iam currently writing from Dhaka, Bangladesh. One of driver s brother met with an accident 5 years back. He was a normal person till then and he was also working as driver till he met with the accident. After the accident he started behaving abnormally and he used to fight and abuse everyone till last year. Last year he started behaving normally after some treatment and now the problem is he is forgetting what happened after every 30 min to 1hr. He some time remembers some things like driving, manual gear first gear etc., What should be done to make him normal. Since they are from poor family, i want to help them to be normal. Please let me know, if i have to send him to India to any good hospital for treatment.
posted on Wed, 30 Jan 2013
Twitter Wed, 30 Jan 2013 Answered on
Twitter Sat, 9 Feb 2013 Last reviewed on
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General & Family Physician,  's  Response
Hello Cira,

Thanks for posting on HCM
From your description, I can tell that your friends problem has become very complicated and might not have any definitive treatment as from the look of things there is probably permanent nerve damage in the brain and additional psychological disorder. He would require the attention of a neurosurgeon + a neuropsychiatrist in order to be able to handle his problem.
There would have to run a series of exams such as MRI, brain CT scan, EEG and even PET scan just to be able to determine the cause of his problem and also see if it can be surgically or medically corrected. From the look of things he did not receive proper treatment immediately after the accident and so, the injury caused in his head, probably has become irreversible.
If you have the means, then you can start his follow up and later on management.

Wish you and your friend the best
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Psychiatrist,  Dr. Sundar Gnanavel's  Response
Hello........
Thanks for your query. It is possible that post accident the person has developed organic personality changes. A CT/MRI would be advisable at this stage. Also assessment of cognition would be helpful for management. Low dose anti-psychotics would be the preferred medication in this case generally. Hope you found the information useful.
Regards
Dr Sundar
Psychiatrist
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Having Mental Disbalance After An Accident. What Should Be Done?

Hello Cira, Thanks for posting on HCM From your description, I can tell that your friends problem has become very complicated and might not have any definitive treatment as from the look of things there is probably permanent nerve damage in the brain and additional psychological disorder. He would require the attention of a neurosurgeon + a neuropsychiatrist in order to be able to handle his problem. There would have to run a series of exams such as MRI, brain CT scan, EEG and even PET scan just to be able to determine the cause of his problem and also see if it can be surgically or medically corrected. From the look of things he did not receive proper treatment immediately after the accident and so, the injury caused in his head, probably has become irreversible. If you have the means, then you can start his follow up and later on management. Wish you and your friend the best