Pregnant Female with EDH

[Bjorn, Pret]

Very interesting case, but there's nothing controversial here.
C-Section.  No deficits?  No craniotomy.  

Refer her to rehab/neuropsych for MTBI screening, lest subtle neurologic
sequellae ruin her experience of motherhood and get dismissed as
postpartum depression.

Pret Bjorn, RN
Bangor, ME USA

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of navin goyal
Sent: Tuesday, April 03, 2007 3:51 PM
To: trauma-list at trauma.org
Subject: Pregnant Female with EDH

Dear Mail subscribers,

A young  and 35  wks preganat female had a fall from running train . She
attended our trauma centre two days after with complains  of vomitting
twice on that . Patient when attended our trauma centre was comfortable
except for the complains mentioned . GCS 15/15  P-72/min BP-110/70 . No
other complains .We got her CT Brain done . Which showed small EDH in
the posterior fossa and SAH in various other part of brain . USG showed
normal fetal well being with reactive  NST( Non stress test).
I would like to know what should be done ? Whether EDH evacuation should
be done immediately?EDH evacuation should be done only if  the patient
has labor pain ? Whether Cesarean section should be done immediately,
alone or along with  EDH evacuation  ? Can we go on with the
conservative management.

Navin



 				
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