Brain Injuries Treatment In India
Traumatic brain injury (TBI) in India usually occurs when a sudden physical assault on the head causes damage to the brain. The damage can be focal, confined to one area of the brain, or diffuse, involving more than one area of the brain.
Pathology:
Structural changes from head injury may be gross or microscopic, depending on the mechanism and forces involved. Patients with less severe injuries may have no gross structural damage. Clinical manifestations vary markedly in severity and consequences. Injuries are commonly categorized as open or closed.
Open injuries involve penetration of the scalp and skull (and usually the meninges and underlying brain tissue). They typically involve bullets or sharp objects, but a skull fracture with overlying laceration due to severe blunt force is also considered an open injury.
Closed injuries typically occur when the head is struck, strikes an object, or is shaken violently, causing rapid brain acceleration and deceleration. Acceleration or deceleration can injure tissue at the point of impact (coup), at its opposite pole (contrecoup), or diffusely; the frontal and temporal lobes are particularly vulnerable. Axons, blood vessels, or both can be sheared or torn. Disrupted blood vessels leak, producing contusions, intracerebral or subarachnoid hemorrhage, and epidural or subdural hematomas
Prognosis for Traumatic Brain Injury in Indian Patients: The outcome of TBI depends on the cause of the injury and on the location, severity, and extent of neurological damage: outcomes range from good recovery to death. Doctors often use the Glasgow Coma Scale to rate the extent of injury and chances of recovery. The scale (3-15) involves testing for three patient responses: eye opening, best verbal response, and best motor response. A high score indicates a good prognosis and a low score indicates a poor prognosis.
Treatment of Indian patients suffering from Traumatic Brain Injury :
For mild injuries discharge and observation
For moderate and severe injuries optimization of ventilation, oxygenation, and brain perfusion; treatment of complications (eg, increased intracranial pressure, seizures, hematomas); and rehabilitation
Multiple noncranial injuries, which are likely with motor vehicle crashes and falls, often require simultaneous treatment. At the injury scene,a clear airway is secured and external bleeding is controlled before the patient is moved. Particular care is taken to avoid displacement of the spine or other bones to protect the spinal cord and blood vessels. Proper immobilization should be maintained with a cervical collar and long spine board until stability of the entire spine has been established by appropriate examination and imaging. After the initial rapid neurologic assessment, pain should be relieved with a short-acting opioid (eg, fentanyl)
Neurologists in Mumbai
Neurologists in Mumbai treat neurology patients. India has some of the best neurologists in Mumbai who deal with the disorders of nervous system. Neurology should be well differentiated from neurosurgery. A neurologist offers diagnosis, treatments and management for neurological disorders and does not conduct neurological surgeries himself. In cases where neuro surgeries are required, a Neurologist in Mumbai may refer the... »
Neurologists in Gurgaon
Neurologists in Gurgaon are trained specialists who diagnose and treat neurological disorders that affect the nervous system including the brain, spinal cord, and nerves. Neurologists should not be confused with neurosurgeons who are specialized to operate on the nervous system. However, a neurologist is trained to perform a detailed examination of all the important neurological structures in the body. Both the... »
Neurologists in Delhi
New Delhi is the capital of India and it has the best of neurologists to treat patients suffering from neurological disorders. Neurological disorders are ailments that can affect the central nervous system (brain and spinal cord), the peripheral nervous system, or the autonomic nervous system. Neurology is the medical specialty dealing with disorders of the nervous system. Specifically, it deals with... »
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Brain Injuries Causes, Brain Injuries Symptoms, Brain Injuries Diagnosis, Brain Injuries Treatment, and Brain Injuries Prognosis
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