Zade Amisha P, Bhoge Shruti S, Seth Nikita H, Phansopkar Pratik
Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Dec 17;15(12):e50660. doi: 10.7759/cureus.50660. eCollection 2023 Dec.
A head injury or cerebrovascular illness may be the cause of acute intracranial hemorrhage. Making a precise diagnosis is challenging since diagnostic imaging might be challenging in both situations. In this case report, an aneurysmal rupture related head injury resulted in an acute subdural hematoma (SHD) after the patient lost consciousness. A 54-year-old male was found in a state of unconsciousness on the ground and was brought to the nearest hospital. Computed tomography (CT) scan showed an oblique fracture involving the bilateral frontal and right parietal bones along with underlying SDH, subarachnoid hemorrhage (SAH), and hemorrhagic contusion along with midline shift. The case report highlights the rehabilitation journey of a patient with acute SDH and SAH. The patient can now sit independently and stand with minimal assistance. Vasospasm detection, prevention, and treatment need to be the norm at that time. This case demonstrates the effectiveness of a comprehensive rehabilitation approach in promoting mobility and independence for patients with traumatic brain injuries.
头部受伤或脑血管疾病可能是急性颅内出血的原因。由于在这两种情况下诊断成像都可能具有挑战性，因此进行精确诊断颇具难度。在本病例报告中，一名动脉瘤破裂相关的头部受伤患者在失去意识后导致急性硬膜下血肿（SHD）。一名54岁男性被发现昏迷倒在地上，随后被送往最近的医院。计算机断层扫描（CT）显示双侧额骨和右侧顶骨有斜行骨折，同时伴有硬膜下血肿、蛛网膜下腔出血（SAH）、出血性挫伤以及中线移位。该病例报告突出了一名急性硬膜下血肿和蛛网膜下腔出血患者的康复历程。患者现在能够独立坐立，并在最少的协助下站立。当时血管痉挛的检测、预防和治疗需要成为常规操作。本病例证明了综合康复方法在促进创伤性脑损伤患者活动能力和独立性方面的有效性。
