Trauma by animal kick

history of trauma by horse leg pt. age 60+ no previous h/o any major illness .. kindly explain the prognosis nd proper guidance ..pt is currently unconscious after 48 hr of trauma

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Aged pt hit by animal injury is grevious As MRI report suggest pt has hit in parietal area and sustained axonal ischimic injury and unconscious even aftr 48 hrs should be refered to neurosurgeon in ITU as GCS seems to be poor prognosis is vary poor
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Already mentioned diffuse axonal injury probably hypoxic ischemic encephalopathy. Better to post the film. From the available information prognosis seems to be poor. Suggest active supportive management .
Please specify the GCS. It's not clear. Also , as per mri report there is component of diffuse axonal injury. If the GCS is >=12 , there are good chanches of improvement with conservative management.
Resonance images confirmed diffuse axonal injury causing ischemic encephalopathy... Pt muzt be kept unddr supervision of Neuro survion as prognosis does not seems to be good.
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Prognosis is guarded As multiple cerebral infarctions & diffuse cerebral oedema let him be in neurosurgery department & watch for his recovery
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Maintain vitals stable. Blood for FBG PPBG hb Na K. ECG of all 12 leads. Let's Neurosurgeon to handle the case.
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Case of diffuse axonal injury in such cases prognosis is poor
Can you post those MRI image

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