69 yr old Asha Sinha, resident of Patna was treated successfully for brain hemorrhage by surgery at Paras HMRI Hospital Patna. Ms Asha suddenly started to suffer from altered sensorium – inability to think clearly or concentrate with overlapping aspects of consciousness. She also started to experience severe headache. “I felt as if my head would explode. I started to feel delusional and weak. It was I was falling into an abyss.” Her family members realized that her symptoms were not normal and decided to consult a specialist at the earliest.
At Paras HMRI Hospital Patna, Asha was recommended a CT Scan. The scan highlighted a subarachnoid hemorrhage – bleeding within the subarachnoid space, which is the area between the brain and the tissues that cover the brain. A CT Angiogram confirmed the same and highlighted the situation to be critical. According to Dr Mukund Prasad, Consultant Neurosurgery, Paras Hospital, Patna, “Asha’s condition was critical and it was crucial that the right line of treatment be chosen. Also time was of essence. The attendants were given a choice between clipping & coiling. They chose clipping. Rapid treatment is important to save the life of the patient and to reduce the possibility and extent of brain damage. Biggest risks are rebleeding & delayed stroke. Second, the cause of the bleeding needs to be identified and treated, as new bleeding from the same aneurysm can frequently occur without treatment.” Also chances of stroke have to reduced by treatment post clipping.
After close consultations and thought, the attendants chose surgery as the mode of treated to to clip, or close, the aneurysm and stop future bleeding. A surgery was performed to clip the aneurysm. According to Dr Mukund, “The surgery was complex and long. It was complicated due to the poor grade of the patient. Asha’s brain hemorrhage grade was 4 and there was absolute chance she might suffer from paralysis or any motor disorder due to the surgery outcomes. However despite all odds Asha was able to come through with flying colours and had full motor control.”
Today Asha and her family lead a normal life and have no difficulties. “I have a blurred memory of that time and I consider it as learning. Don’t ignore any abnormality in your body. The minute you feel that something is not right, it is best that you consult a specialist at the earliest. Had I consulted Dr Mukund earlier my condition would have been more in hand. I thank the able guidance of Dr Mukund for making me come out of a difficult time.”
Dr Mukund shares, “Numerous patients end up consulting specialists only when their signs and symptoms begin to limit their life. On an average 4 out of 8 cases are grade 4 and exceptionally complicated due to the late action taken by the patient. It is important that we spread information and knowledge about early diagnosis and timely treatment.”