[Previous Page]


RHD Logo
Regina Health District

Recent Neurosurgical Cases

 
Case A

Age: 30

Sex: Male

History: An alcoholic. Fell 2 hours previously and hit the back of his head. Has become progressively drowsy. Examination showed him to be combatant with GCS of 9. Serum alcohol level 76 millimoles per litre (legal limit 17 millimoles per litre).


Pre-op X-Ray
CT of head showing right occipital epidural haematoma.

Treatment 1:  Craniotomy and evacuation of haematoma done immediately. Patient recovered completely. He then became suddenly comatose with GCS of 3 on post-op day 5. CT of brain was done.

Post-op CT
CT of brain showing huge left epidural haematoma.

Treatment 2:  Left Craniotomy and evacuation of haematome was done and patient has done well. GCS 14.

Case B

Age: 80

Sex: Female

History: She fell down stairs. Developed severe headache and drowsiness. Arrived in hospital one hour after fall, comatose with GCS of 6. The score dropped to 4 within minutes.


Pre-op X-Ray
CT of head showing huge intracerebral haematoma with shift.

Treatment:  Compassionate terminal care.


Case C

Age: 50

Sex: Male

History: Road traffic accident. Sustained neck pain and hyperesthesia in C5 dermatomes bilaterally.

X-Rays
Laterial Cervical spine X-ray showing fracture of C4.

 
CT showing burst fracture through C4.

 
MRI showing fracture C4 and spinal canal compromise and small cord injury.

 
MRI showing anterior spinal cord compression at C4 and central canal dilation.

Treatment:  The fracture was reduced in a halo device and this was followed with C4 vertebrectomy, bone graft, and C3-5 plating.

Post-op X-Rays

Introduction | Recent Neurotrauma Cases | Voice Computing Lab | Links

A Project of Emmauel Charitable Foundation

Produced by Medi-Fax Communications
Last Updated: June 22, 2000
(c)1999 Medi-Fax Communications
Fax: (306) 761-1315