1. 1. OCA HospitalGustavo Villarreal Reyna MD.Endovascular Neurosurgery
2. 2. Patient Information: Male, 16 years old Height175 cm(5 feet 7 inches) Weight76 kg(167 lb) Enrollment date and time: Injury date: 04:00 June 2nd 2012 Hospitalization time: 05:00June 2nd 2012
3. 3. Intubation before hospital admission Yes/NoSedation before hospital admission Yes/NoParalysis before hospital admissionYes/No
4. 4. scoreEye Opening: |_3_|Verbal Response: |_4_|Motor Response:|_5_|Total Score E+V+M |_1_||_2_|
5. 5. Patient without any medical records beforethe accident. He is admitted at 5 am with a frontaltraumatic brain injury, he was hit with abaseball bat.
6. 6. GCS 12E3 V4 M5 Disoriented in time and place Left sided hemiparesia and hyperreflexia Right frontal subgaleal hematoma Normal pupillary reactivity Left Pupil 3 mm Right Pupil 5 mm
7. 7. Blood and Urine tests without clinicalsignificance.
8. 8. Right Frontal Epidural Hematoma
9. 9. Craniotomy and evacuation of the hematoma. Acute phase administration of 50 ml/day.
10. 10. The patient was hit with a baseball bat in theright frontal region and admitted with a 12 GCS,confussion and left side hemiparesia. CT scan reported a right frontal epiduralhematoma and a craniotomy and evacuation ofhematoma was performed, also first treatmentcicle of Renacenz is started. After 24 hours, the patient has 15 GCS, and hesimproving movility in the left side of the body.
11. 11. At the end of the first cicle of Renacenztreatment the patient was fully recovered,without any neurological impairment. Renacenz has proven to be a helpful resourseto improve patients outcome, but we mustnot forget the role of decompressing surgeryin the traumatic brain injury.
12. 12. Thank you!