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Brain Injury -Procedures, Side effects, Recovery time, Costs and alternatives

Last Updated: Jun 20, 2024

What is the treatment for Brain Injury ?

Brain injury is a condition wherein the brain faces a dysfunction due to any external force which can be due to trauma, violent blow to the head, accident, etc. This tyoe of trauma may cause the damage to the brain tissues, may affect your brain cells temporarily or can even result in internal bleeding.Treatment for Brain injury may involve rest, medication and also a surgery in some cases. The treatmentis based on the severity of the injury.

  • General medications include increasing the urine production to get rid of excess salt and water.
  • There are certain therapies for non-traumatic injuries cognitive behavioural therapy which is focused on negative thoughts and many more to help a patient recover.
  • Mild traumatic brain injuries usually require enough rest and pain relievers.
  • Surgeries may be needed to reduce the additional damage to the brain.
  • Removing blood clots: Bleeding inside the brain can cause blood clots. Immediate assistance is needed to avoid any kind of problem to the tissues.
  • Repairing skull fractures: Surgery may be needed to provide treatment to many kinds of skull damages.
  • Most of the people who undergo treatment regarding brain injury would require rehabilitation.
  • Psychiatrist: A doctor trained in physical medicine and rehabilitation, who oversees the entire rehabilitation process, manages medical rehabilitation problems and prescribes medication as needed.
  • Occupational therapist: He who helps the person to learn, relearn or improve his skills to perform everyday activities.
  • Physical therapist: He who helps with mobility and relearning movement patterns, balance and walking.

How is the treatment done?

The treatment for the brain injury depends on the condition of the patient, In order to examine the brain injury impact the doctor may perform some tests like

  • checking alertness of the patient by checking sensory reactions, speaking and alertness through physical examination known as Glasgow coma scale.
  • performing CT scan or MRI scan based on the condition and availability. Based on the outcome of the physical and imaging based examination the treatment for the brain injury may be as follows:
  • Medication Medications are used to limit the secondary damage to the brain caused due to injury and these may
  • Diuretics. These medicines helps in reducing the amount of fluid in tissues and increase urine output thereby reducing pressure on brain tissues.
  • Anti-seizure drugs: these are given to avoid any sort of seizures caused by injury.
  • Surgery: Surgery is carried out in case of emergency surgery so as to minimize additional damage to brain tissues. Surgery are performed for removing clotted blood also known as hematomas, for repairing skull fractures, to avoid bleeding in the brain and opening a window in the skull. so as to relieve pressure inside the skull.
  • Assisted therapy: this may include rehabilitation therapy, behavioral therapy, speech therapy to increase coordination of the person.
  • Who is eligible for the treatment? (When is the treatment done?)

    Treatment is done when the symptoms are clear. Immediate symptoms include confusion, blurry vision and difficulty concentrating. Other symptoms may include:

    • Cognitive: Amnesia, inability to speak or to understand language, confusion, difficulty in concentrating, difficulty to think and to understand, inability to create new memories or inability to recognize common things.
    • Behavioral: Abnormal laughing and crying, persistent repetition of particular words or actions, feeling of anger, impulsivity, irritability, lack of restraint and a few other.
    • Whole body: Loss of consciousness or coma, dizziness, fainting or exhausted.
    • Mood: Anger, anxiety, apathy or loneliness.
    • Eyes: Dilated pupils, raccoon eyes or unequal pupils.
    • Other symptoms may include a persistent headache, a temporary moment of clarity, bleeding, blurred vision, bone fracture, bruising, depression, loss of smell, nerve injury, post-traumatic seizure, or ringing in the ears.

    Who is not eligible for the treatment?

    In case of any severe injury, lethal case, the person can give first aid only. Within that time itself, the victim can undergo destruction and might die. Severe skull damage cannot be brought back to life. So notreatment will help in this state.

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    Are there any side effects ?

    Brain injuries are particularlyworrisome because they might have long-lasting effects on the body. The effects vary from injury to injury. Some of them are:

    • Memory loss
    • Mood swings
    • Impaired language skills
    • Coma
    • Increased risk of stroke/seizure.
    • Impaired cognitive function
    • Loss of balance
    Alzheimer’s, Parkinson’s and other degenerative conditions.In case any of these side effects persists or there any other health issues arising during or after treatment, it is advised to kindly consult the health specialist immediately.

    What are the post-treatment guidelines?

    Patients will be advised to undergo therapies and rehabilitation by the doctors if needed. Cognitive Rehabilitation therapy is a common treatment given to brain injury affected people. This therapy helps people overcome their memory loss to some extent.

    Cognitive behavioral therapy(CBT) is a psychosocial intervention that aims to improve mental health.CBT focuses on challenging and changing unhelpful cognitive distortions (e.g., thoughts, beliefs and attitudes) and behaviors, rising emotional regulation, and the development of private brick methods that concentrate on determination current issues. Originally, it had been designed to treat depression; however, its use has been dilated to incorporate treatment of a variety of mental state conditions, together with anxiety.

    How long does it take for a person to recover from a Brain Injury?

    The recovery time for the patient varies from patient to patient based on his or her health condition and the brain injury impact.A normal person may take between 6 months to 2 whole years for recovering, but it varies for different people.

    Brain healing is an important phenomenon. It is the process that occurs after the brain has been damaged. If an individual survives with the brain damage, sure the brain has a remarkable ability to adapt. When cells in the brain get damaged and are dead, say in cases of stroke, there will be no repair or scar formation for those cells. People affected with brain injury have to take rest and necessary care must be taken.

    What is the treatment price in India?

    The estimated cost for the treatment of this type of brain injury in India will be around 4000000-5000000 INR including the therapies and the rehabilitation. Depending on the area and the availing facilities in the hospital by the patient may differ from place to place. In an average, this has been mentioned here.

    Are the results from the treatment permanent?

    Traumatic brain injuries (TBI) result in everlasting neurobiological destruction that can cause lifelong deficits to varying level. Major brain injury is defined as an injury that resulting in a loss of consciousness of more than 6 hours and a Glasgow Coma Scale of about 3 to 8.

    Glasgow coma scale: The metropolis Coma Scale (GCS) could be a neurologic scale that aims to present a reliable and objective manner of recording the acutely aware state of someone for initial likewise as ulterior assessment. Someone is assessed against the factors of the dimensions, and also the ensuing points provides a person's score between three (indicating deep unconsciousness) and either fourteen (original scale) of fifteen (more wide used changed or revised scale).

    What are the alternatives to the treatment?

    Natural ways to treat Brain Injury are:

    • Get plenty of sleep during night and plenty of rest during the day.
    • Increase daily activities slowly.
    • Avoid alcohol, drugs and caffeine.
    • Stay hydrated.
    • Mind relaxing exercises, yoga, and meditations will give hand.
    • Laughing therapies will help a lot, as they activate the maximum cell in the head part.

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    Written ByDr. Arun Sharma MBBS,MS - General Surgery,MCh - Neuro SurgeryNeurosurgery
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