Neurotrauma BY DR. Mudassar Abbas Siddique.pptx

A concise guide on head and spine injury for residents

1. NEUROTRAUMA From Impact to Rehab Dr. Mudassar Abbas Siddique Consultant Brain and Spine Surgeon MS(Neurosurgery), MBBS (PMC) University of Child health sciences CHL

2. Mechanism of injury

3. Head Injuries Resulting Hematomas

4. Penetrating Head Injuries

5. Skull Fractures

6. Assessment of The Head Injury Patients

7. Intra-cranial Pressure

8. Signs and Symptoms Of Head Injury Headache Vomiting Loss of Consciousness Retrograde Amnesia Post Traumatic Amnesia Vertigo Facial paresis

9. Diagnostic Investigations History and Physical findings X-Rays CT-Scan Brain Plain MRI Brain plain and with contrast MRA MRV EEG

10. Suggest CT Brain Plain To…

11. Management ATLS protocol Control and monitoring of Raised ICP Calcium channel blockers Oxygenation Surgical management

12. Surgical Management Craniectomy Craniotomy Cranioplasty

13. Treating the Head Injury

14. OUTCOME ASSESSMENT AND REHAB

15. EXTENDED GOS

16. Mechanism Of Spinal Injury

17. Spinal Cord Transections

18. SPINAL SHOCK AND AUTONOMIC DYSREFLEXIA

19. Management of Spinal cord injury

20. Care and Rehab

21. Summary/Anticipation Ineffective tissue perfusion (Cerebral ) Consideration and treatment of Spinal Shock after SCi Pain (Headache ) (Backache) related to trauma and cerebral edema Hyperthermia, due to hypothalamic injury Paraplegia tetraplegia after SC injury Impaired physical mobility, may be due to reduced GCS and limited range of motion- Imposed Bed Rest Fluid Volume reduction or overflow-due to head injury or hormonal imbalance Knowledge regarding treatment modalities and recent advances Anxiety related to abrupt change in health status, hospital environment and uncertain future.