of $2872 Goal from 94 supporters
This is Master Abdul faaris, (UHID:1024213924) 1 1/2-year-old male. came to the emergency room with a history of fall from balcony first floor and sustained injury. Post fall cry present of LOC present No history of vomiting/ENT bleed. Term baby, Vaccinated as per schedule. Initially, the patient was taken to Afi hospital Tambaram CT Brain done which showed. left parietal bone fracture. left frontoparietal thin SDH, no midline shift. basal cisterns open came here for further management On arrival patient GCS EIVTMI, Pupils b/1 3mm RTL. Involuntary movement Of both upper limbs. SPO2 97%.HR 115/min. BP 93/54 mmHg Patient with the above-mentioned complaints came to ER. with involuntary. movements of both upper limbs ?seizures. GCS during the episode was EIVIMI, posturing. Antiepileptics measures given, sedated and intubated in ER and shifted for PAN CT with strict log roll protocol. CT BRAIN Right FP Thin SHD. left parietal bone fracture with fracture hematoma. no midline shift or mass effect, basal cisterns open, No EDH/ SAH/ IVH. CT ABDOMEN Normal. CT CHEST Normal. CT SPINE Normal. The condition of the baby, was explained to the attenders and planned for admission in NICU, and started managing with anticonvulsants antiedema measures. HOB 30, ionotropic support, ECHO was done which was normal. EEG was done which showed status epilepticus. The pediatric neurologist was consulted and advise Follow regarding antiepileptic management. Medical management with active sedation continued. On 13.11.2017, patient assessed at 7.()0 am, when the child's GCS ElVIM2 with b/1 2 mm srtl. moving all 4 limbs. The patient was shifted for CT Brain which showed Bilateral cerebellar hemisphere infarcts. Attenders counseled and the patient was shifted for EMERGENCY POSTERIOR FOSSA DECOMPRESSIVE CRANIECTOMY AND LEFT FRONTAL EVD INSERTION ON 13.11.2017. Post-procedure, the patient had unequal pupils right 3 5 mm and left 2.5mm.
Master Abdul will get back soon.
Now, he is to become on normal but he is under the observation as per doctor advice.
Thank you so much to all contributors and donors.