Head Injuries Brain fractures

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What is a head injury?

A head injury is any sort of injury to your brain, skull, or scalp. This can range from a mild bump or bruise to a traumatic brain injury. Common head injuries include concussions, skull fractures, and scalp wounds. The consequences and treatments vary greatly, depending on what caused your head injury and how severe it is.

Symptoms

A person with traumatic brain injury may experience the below symptoms usually after few days or weeks:

  • Headache or neck pain
  • Dizziness
  • Blurred vision
  • Ringing sensation in the ears
  • Unconsciousness
  • Convulsions or seizures
  • Confusion and disorientation
  • Difficulty to recall the cause of injury that occurred in the past 24 hours
  • Difficulty to speak coherently
  • Frequent nausea and vomiting
  • Changes in the sleep patterns

Causes

The main causes of traumatic brain injury are accidental falls and vehicle accidents. The other less common causes are:

  • Injury caused due to playing sports, such as boxing, baseball, skating, hockey, soccer, and other such high-impact sports.
  • Injuries caused due to violence, such as gunshots, explosive blasts, child abuse or domestic violence.
  • Injury caused due to accidental penetration of sharp objects into the skull.
  • Shaken baby syndrome, which occurs due to vigorous shaking of infant, can also lead to TBI.
  •  Head injuries Sign And Symptoms

Diagnosis

Traumatic brain injury is an emergency condition, which needs to be assessed quickly and treated promptly. The doctor assesses the severity of the injury based on the score of a 15-point test known as ‘Glasgow Coma Scale’. The doctor may check the person’s ability to move the eyes and limbs and also to follow instructions and coherence of the speech. Higher score indicates low severity of the injury.

Additionally, the doctor may order for laboratory tests, such as X-rays, EEG (electroencephalogram), CT scan or MRI to examine the brain in detail for bleeding, blood clots, bruising or swelling of the brain tissue.

The doctor may also monitor the skull pressure (intracranial pressure) using a probe. This diagnostic procedure is performed to minimize any further damage to the skull due to an increase in the intracranial pressure due to swelling.

Treatment

Treatment aims at preventing the worsening of brain damage. Outcome of the treatment depends on the severity of the injury.

Most cases of mild TBI do not need any extensive treatment other than over-the-counter headache medications and some rest.

Moderate to severe TBI cases need emergency treatment, which includes oxygen, blood supply, blood pressure maintenance and preventing further injuries. In case of severe injury, intensive care and rehabilitation is required.

Medications may be given to prevent secondary damage to the brain. These may include:

  • Diuretics to reduce pressure associated with excess fluid in the brain tissue
  • Coma-inducing drugs to put the person into a temporary state of coma to reduce the oxygen demands of the brain
  • Anti-seizure drugs  to prevent additional damage to the brain due to seizures

Surgery may be recommended in some cases to repair a fractured skull, to relieve pressure in the brain or to remove blood clots, which may increase pressure on the brain. It is not advised to involve in physical or cognitive activities for some days as recommended by the doctor.

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Reshma Khanna

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Dr. Vikas Gupta is a very good neurosurgeon. We are very satisfied with his stroke treatment for my mother. We were scared initially when our mom suffered from a brain stroke but Dr. Vikas assured us that with the help of surgery, she would be better. It’s been 3 months since her surgery and she is recovering well.

Aditya Singh

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Dr. Vikas is one of the best neurosurgeons that I know of. I visited him for my father’s brain surgery and like always, Dr. Vikas didn’t disappoint. The surgery was successful and my father has almost recovered from it. Thank you doctor for your guidance and support.

Sanket Malik

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My experience with Dr. Vikas Gupta was very good. He is kind, empathetic and helpful. He made sure we understood the problem which we were facing and was transparent and honest about everything. His diagnosis was accurate and treatment offered was cost effective

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Spine and Brain Healers provides advanced medical care in the field of Adult neurosurgery,Paediatric Neurosurgery surgery, and Interventional Neurosurgery .

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