Moderate head injury of my mother

[SIVAN583]

My mother 78 year old, occured a head injury due to car accident and CT scan report :-A 3.3 x3 cm hemorrhagic contusion noted in left fronto-temporal region . Another 2X1.9 cm hemorrhagic contusion noted on right frontotemporal region. Diffuse SAH noted involving both hemispheres.No middle line shift .Communited fracture of right tempral bone noted.
Considering her age we have not opted for surgery and after 26 days still she is in unconcious stage .Please suggest how to proceed further/ chance of recovery

[SIVAN583]

Thanks for your comment

[Dr_Veena]

Hi,
     How are you? Contusions of the brain cause minimal cerebral edema which can be treated conservatively, but in SAH surgical treatment remains usual step.
But in cases were patient’s cannot be taken up of surgery like in your mother’s case, then a drug called nimodipine can be used for about 3 weeks till surgery.

Clipping or endovascular detachable-coil treatment or coiling are two methods which are commonly employed. Unless the hemorrhage is completely resolved or removed the general status of the patient will not improve. In general, it the recovery is very slow. Once the conscious level, speech, recognition and eye movements improve then, intensive rehabilitation therapy, including physiotherapy, speech therapy and occupational therapy, are usually needed.
Best.