When hanging caused an intracranial haemorrhage: A rare case report

Depressive illness is a growing health hazard into modern era days. Depression may sometimes result in suicidal tendency in a major number of patients. Suicidal attempt not only leads to loss of life, but also a significant number of survivors retain various morbidity. We here report a rare case of intracranial haemorrhage (ICH) following a suicidal attempt by hanging

Traumatic cerebellar hematoma in paediatric patient: A case report and review of literature

Paediatric trauma is common emergency in emergency departments of hospitals worldwide. One of the uniqueness is the trauma sustained mostly in household areas and even the mode of injury is often subtle. Paediatric head injury is the one of the common reasons for children visiting the emergency department. Expert management and gentle care is an essential requirement in paediatric head injury cases. The management of the paediatric traumatic brain injury certainly depends upon the clinical conditions of patient and computed tomography {CT} findings. Most of the traumatic brain injuries can be managed conservatively but at times the surgical management has to be undertaken. A 6 month old child admitted with the history head injury. NCCT head revealed cerebellar hematoma with overlying subdural haemorrhage. Initially the child was managed conservatively but as the sensorium deteriorated the surgical evacuation was performed. The paediatric post fossa traumatic haemorrhage is a relatively uncommon and the management also needs to be individualized as per the patient’s condition

When the disease is known but the patient is not: Outcome of 118 such patients at a Tertiary Care Centre

This is a prospective study, carried out at the Department of Neurosurgery at M.B.G Hospital, R.N.T Medical College, Udaipur, Rajasthan (India). Many patients with history of trauma with head injury, whose identity cannot be ascertained, are admitted in our hospital. The management of these unattended patients from pre-hospital till discharge, rehabilitation or death is full of difficulties especially when surgical intervention has to be done. From March 16, 2015, until March 30, 2016, 118 consecutive patients unattended patients admitted in our department with history of head injury were enrolled in the study. Out of 118 patients, 107 (91%) were male, most were in the age group of 30-39 years. In majority of patients, 115 (97%) principal cause of head injury was road traffic accident. Majority of the patients 49 (41%) had Glasgow coma scale >13 on admission. Twenty three patients 23 (20%) died in hospital, 71 (60%) patients had good recovery. During the course of treatment identity of 115 patients was established and 92 (78%) patients, who survived were discharged to home. Three (3%) patients were shifted to destitute home. All discharged patients were followed at 1 month and 6 month interval. 78 (82%) & 76 (80%) patients showed good recovery (GOS) at 1 month & 6 month respectively. One patient expired at home within one month of discharge and 6 patients lost to follow up at 6 months

Outcome of surgically treated head injury in unattended patients at Neurosurgery Department in Tertiary Care Centre: An institutional study

This is a prospective study, carried out at our department. Many patients with history of trauma with head injury, whose identity cannot be ascertained, are admitted in our hospital. The management of these unattended patients from pre-hospital till discharge, rehabilitation or death is full of difficulties especially when surgical intervention has to be done. We conducted a prospective study by enrolling 11 consecutive unattended patients in whom neurosurgical procedures performed at our hospital. Out of 11 patients, 9 (82%) were male, most were in the age group of 21-30 years. The mean age was 30 years. Mean duration of hospital stay was 11.27 days. The cause of head injury was road traffic accident in all patients. Majority of the patients 10 (90%) had Glasgow coma scale less than 8 on admission. Two patients 2 (18%) died in hospital, 7 (63%) patients had good recovery. During the course of treatment identity of all 11 patients was established and 8 (72%) patients who survived were discharged to home. All discharged patients were followed at interval of 1 month and 3 months. Four (50%) & 5 (62%) patients showed good recovery (GOS) at 1 month & 3 month respectively

Large subgaleal hematoma producing turban head in 10 year boy with cerebral palsy: Rare case report with review of literature

Subgaleal hematomas (SGHs) are not uncommon. Because the subgaleal space has no anatomical boundaries, SGHs usually involve a large space and are typically limited to the parietal region. Cases of SGHs involving whole of head are relatively rare. In this study we report a rare case of massive enlargement of head after SGH causing severe pain and giving an appearance of turban. A 10 year old, male patient with cerebral palsy presented with progressive enlargement of head attaining a size of turban due to habitual head banging and self-punching overhead. SGH drainage and hematoma aspiration were performed and the patient’s head size was restored

Kinked and retained nasogastric tube in polytrauma patient: A rare case report

Enteral feeding is an important and preferred technique of feeding in head injury patient to provide nutrition. As inadequate nutrition causes decrease in physical ability, neurological impairment and takes a long time for improvement or delayed deterioratation. With our best knowledge kinked and retained nasogastric tube in stomach is a very rare complication of feeding in head injuries patients. Predisposing factors that can cause kinking is excess tube length, tube in situ for long time and small bore tube. We are reporting one such case of kinked and retained nasogastric tube in the stomach of a polytrauma patient which was retrieved by upper GI endoscope