List Archives

Wed Apr 4 02:41:33 BST 2007

Dear all,

Dr.Jacob John from Kollam,Kerala,India.

EDH - Small size,Two days post trauma,No mass
effect,GCS 15,- no need for evacuation.

Only analgesics and observation.

Even if non pregnant,conservative management will not
harm.

Her headache must be due to the SAH also.

Dr.Jacob John MS,M.Ch

Consultant Neurosurgeon,

Bishop Benziger Hospital & Holy Cross Hospital,

Kollam,Kerala,India.

jacobjns at gmail.com

--- navin goyal <drnavingoyal at yahoo.co.in> wrote:

> 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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Pregnant Female with EDH