Positive Outcome in Traumatic Brain Injury with Haematoma and Fracture: A Case Report

Abstract

Traumatic Brain Injury (TBI) is described as the break in natural functioning of the brain caused due to any kind of trauma to the head. The injury to head can cause distinctive types of haemorrhages namely, Epidural Haematoma (EDH), subdural haematoma (SDH), Subarachnoid Haematoma (SAH) and Intra-Parenchymal Haematoma (IPH), SAH and SDH being the more common ones. Acute subdural haematomas often occur in patients suffering from falls and motor vehicle crashes, resulting in compression, and swelling of the brain that increases the intracranial pressure. When both compression and swelling occur, mortality and morbidity can be high. In the following case, the patient presented with both intracranial as well as extracranial haematomas in moderation and got cured during a week of hospital stay with almost minor functional and neurological disability as indicated by the Glasgow Coma Scale (GCS) and other variables. As per current evidence the best way to minimise long-term disability in moderate and severe TBI is extensive multidisciplinary post TBI rehabilitation.