Patient's question:
On the 26th at 10:21, a 12-year-old boy suffered a subarachnoid hemorrhage after hitting his back of the head on the ground following a fall on the 18th. He also had bilateral frontal lobe contusions and coup-contrecoup brain injuries, along with severe headache due to intracranial hypertension. He experienced two episodes of dry retching and 5 milliliters of bleeding. Other symptoms were relatively mild. Upon admission, he received intracranial drainage and mannitol treatment. After 5 days of hospitalization, MRI results showed a slight increase in bleeding volume, but his overall condition was stable. The medication was stopped, and he was observed for two more days without any symptoms. The doctor recommended discharge.Is there a risk of secondary skin rupture and increased intracranial pressure at home? Will he be left with post-traumatic epilepsy?
Doctor's answer:
In this case, it has been more than a month, and we need to see how the brain hemorrhage has fully absorbed and whether there are any other discomforting symptoms. Moreover, the risk of another skin rupture has already decreased, so the patient can be discharged and go home for careful observation. It is difficult to predict whether epilepsy or other sequelae might recur, so we can only focus on careful observation. In the near future, it is important to maintain a regular routine for the child and prevent any strenuous physical activities. In terms of diet, a balanced intake of meat and vegetables should be maintained.