Head Injury Treatment in Lucknow @Chandan Hospital

Introduction
Head injuries are one of the most common causes of disability and death in humans. The injury can be as mild as a bump, bruise (contusion), or cut on the head, or can be moderate to severe in nature due to a concussion, deep cut or open wound, fractured skull bones, or from internal bleeding and damage to the brain.
There are many causes of head injury in children and adults. The most common traumatic injuries are from motor vehicle accidents (automobiles, motorcycles, or struck as a pedestrian), from violence, from falls, or as a result of child abuse. Subdural hematomas and brain hemorrhages (called intraparenchymal hemorrhages) can sometimes happen spontaneously.
When there is a direct blow to the head, the bruising of the brain and the damage to the internal tissue and blood vessels is due to a mechanism called coup-countercoup. A bruise directly related to trauma, at the site of impact, is called a coup (pronounced COO) lesion. As the brain jolts backward, it can hit the skull on the opposite side and cause a bruise called a counter coup lesion. The jarring of the brain against the sides of the skull can cause shearing (tearing) of the internal lining, tissues, and blood vessels that may cause internal bleeding, bruising, or swelling of the brain.

Management
The patient was rushed in Emergency at Chandan Hospital, Lucknow; he was bleeding from his forehead and was in an unconscious state. The emergency staff responded quickly and discovered head injury with exposed RT frontal brain and communicated frontal bone fracture. They also did some further investigation and figured out that the patient’s right pupil dilated & non-reactive and left pupil was pinpoint non-reactive.
Further, test like CT scan was performed on the patient to determine the extent of his head injuries. Following were the findings:

• Comminuted fracture frontoparietal bone with anterior body defect.
• Multiple hyperdense areas with hypodensities are seen in bilateral frontal and right parietal.
• Gangliocapsular region was suggestive of hemorrhagic contusions.
• Multiple air pockets are also seen, sulci and fissures effaced with midline ship of approx 2.5mm.
• Both cerebral hemisphere and brain stem are normal in position and appearance.

The patient underwent surgery, under general anesthesia with bicoronal incision, removal of all contused and exposed RT frontal lobe was done with the elevation of depressed fracture and removal of exposed bone chips. Dr. Mohd Iqbal did fixation of multiple fractured segments of skull bone with miniplate and screws. Alignment of the right upper orbital rim was also performed. Fractures involving frontal bone are rather uncommon. Injuries to this bone are rather critical because of its proximity to the brain. Due to excellent treatment, timely visits, and regular monitoring, the patient recovered successfully without any further complications.

Testimonial
“He was unconscious and his forehead was bleeding very badly. We were dismantled by this situation and got worried, so we rushed immediately to Chandan Hospital where emergency staff quickly responded and made his condition stable. He has undergone surgery and by God’s grace, he has recovered back. It is not less than a miracle. We thank Dr. Mohd Iqbal for his excellent treatment. His timely visits and regular monitoring really helped us to take him back home. We wish Chandan Hospital continues rendering such good quality of treatment.” Best Hospital in Lucknow
~ Patient’s Family Member

Brain Tumor Treatment in Lucknow – Chandan Hospital

Abstract A brain tumor is an abnormal growth of tissue in the brain or central spine that can disrupt proper brain function. Doctors refer to a tumor based on where the tumor cells began, and whether they are cancerous (malignant) or not (benign). All brain tumors can grow to damage areas of normal brain tissue if left untreated, which could be disabling and possibly fatal. Brain and spinal cord tumors are different for everyone. They form in different areas, develop from different cell types, and may have different treatment options. In this book, we try to offer general guidance for both low grade (benign) and high grade (malignant) primary brain tumors for adults.

Here, we report a case of Brain Tumor in a male who was reported at Chandan Hospital in a state of unconsciousness, pain and weakness. The patient was unable to obey commands and respond normally prior to the diagnosis.

1. Introduction The brain is an elaborate, elegant, and sophisticated mass of tissue and nerve cells. It seamlessly controls our personality, our senses, helps regulate vital body functions, and controls how we move in our environment. When abnormal cells grow in the brain to develop a tumor, it can disrupt how we function and will require treatment considerations that balance how the tumor is treated with how well our brain operates. As part of the diagnostic testing, a doctor will measure nervous system functions, physical and mental alertness, and include the examination of normal brain functions from reflexes to judgment, smell and taste. If responses are not normal, a brain scan will be ordered, or a patient will be referred to a neurologist or neurosurgical oncologist for more tests. A scan is the first step to identify if a brain tumor is present, and to locate exactly where it is growing. A scan creates computerized images of the brain and spinal cord by examining it from different angles. Some scans use a contrast agent (or a dye) to allow the doctor to see the difference between normal and abnormal tissue. A patient may need more than one type of scan to diagnose a tumor, depending on its type and location. The World Health Organization (WHO) has created a standard by which all tumors are classified. There are over 120 brain tumor classifications defined by the WHO, based on the tumor cell type and location, making this a very complex diagnosis. Tumors are given a name based on the cells where they arise, and a number ranging from 1–4, usually represented by Roman numerals I-IV. This number is called the “grade” and it represents how fast the cells can grow and are likely to spread. This is critical information for planning treatment and predicting outcomes. Tumors can contain several grades of cells; however, the most malignant cell determines the grade for the entire tumor (even if most of the tumor is a lower grade). Some tumors can change the way they grow and may become malignant over time. Your doctor can tell you if your tumor might have this potential.

2. Case History The patient (male) was reported at Chandan Hospital Lucknow in a state of unconsciousness, pain and weakness. Prior to treatment/surgery by Dr. Mohammad Iqbal (Neurosurgeon), the patient was unable to obey commands and respond normally. Te patient was diagnosed with brain tumor, a mass or growth of abnormal cells in his brain.

3. Management An emergency case of Brain Tumor was reported by a male at Chandan Hospital, Lucknow, as he was hospitalized in a state of unconsciousness, pain and weakness. He was diagnosed and treated by a Neurosurgeon, Dr. Mohammad Iqbal, who did his surgery with the help of well equipped facility for neuro surgery, at Chandan Hospital. The patient had chief complaint of not being able to obey commands and respond normally. After successful surgery and treatment (post op) the patient is cured (100%) and is fully satisfied with his surgery and treatment.

4. Testimonial “My brain tumor diagnosis was done at Chandan Hospital. Before getting hospitalized, I was in a state of unconsciousness, pain and weakness. Here, I met with the most amazing and empathetic Neurosurgeon, Dr. Mohammad Iqbal, who did my surgery. I am so blessed to have had this type of care and support from the whole team. After successful surgery I was able to obey commands and respond normally. I am fully satisfied with my surgery and treatment taken place at Chandan Hospital. The quality of service offered by Chandan Hospital is excellent.”

– Mr. Satrughan Verma (Patient)