Presentation 2.pptx Invg and mgmt f brain

C

1. DR. SAMBUDDHA DHAR ASSISTANT PROFESSOR- DEPARTMENT OF NEUROSURGERY, SMCH HEAD INJURY: INVESTIGATIONS AND MANAGEMENT

2. INVESTIGATIONS BASE LINE INVESTIGATION COMPLETE BLOOD COUNT KFT BLOOD GROUP AND CROSS MATCHING

3. INVESTIGATIONS SPECIFIC INVESTIGATION CT BRAIN CT CERVICAL SPINE MRI BRAIN TRANSCRANIAL DOPPLER

4. CT BRAIN

5. EXAMPLES OF CT BRAIN

6. Displaced Skull Fracture

7. Extra Dural Haemorrhage

8. Extra Dural Haemorrhage

9. Acute Sub Dural Haemorrhage

10. Chronic Sub Dural Haemorrhage

11. Sub Arachnoid Haemorrhage

12. Cerebral Contusion

13. TRANSCRANIAL DOPPLER

14. TREATMENT

15. GOALS OF TREATMENT Prevent secondary brain injury Control and maintain optimum ICP Prevent other attending complications Return to normal function

16. ** IMPORTANT ** ANY SEVERE HEAD INJURY PATIENT IS TO ALWAYS ADMITTED TO ICU FOR OPTIMUM MONITORING AND MANAGEMENT

17. RISK FACTORS FOR SEIZURES

18. INDICATION FOR OPERATIVE MANAGEMENT CLOT VOLUME MIDLINE SHIFT >5mm SMALL HEMATOMA IN POSTERIOR PITUITARY FOSSA DIFFUSE CEREBRAL EDEMA WITH RAISED ICP OPEN DEPRESSED SKULL FRACTURE WITH OR WITHOUT SINUS INVOLVEMENT

19. SURGICAL OPTIONS BURR HOLE CRANIOTOMY CRANIECTOMY CRANIOPLASTY

20. BURR HOLE TECHNIQUE

21. CRANIOTOMY

22. DECOMPRESSIVE CRANIECTOMY

23. Rehabilitation Ambulatory and home care Nutrition Bowel bladder care Seizure disorder management Family participation and education Physiotherapy

24. Complications Potential neurological deficits Impairment and disabilities Post op infections Comatose state

25. Thank you