The Love Story of the Doctor
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" The patient still has a brain herniation docks, then how do docks? ", said Loise.
" Brain herniation is the mechanical dislocation of brain organs to other regions due to mass, trauma, neoplastic, ischemic or infectious causes. Since the herniation itself causes high pressure on certain brain structures, it is fatal."
" Brain herniation is a condition when brain tissue and fluid shift from their position so that it urges the surrounding area. Brain herniation can be triggered by a head injury, stroke, or brain tumor.
Tissue shifts in brain herniation can occur in the cerebrum (big brain) or cerebellum (small brain). This condition is classified as dangerous because it can interfere with blood flow to the brain. When handled late, sufferers can experience permanent brain damage, even death.Brain herniation occurs due to increased intracranial pressure. The condition can cause the brain tissue to shift from its normal position" Louise.
" The following are some of the factors that can cause an increase in intracranial pressure:
Swelling of the brain, which is generally caused by infection with measles, mumps, polio, or rabies
Head injuries that cause bleeding, concussion, skull fracture, or hematoma
Stroke, either ischemic stroke or hemorrhagic stroke
Brain tumors, either from the brain itself or tumors from other organs that spread to the brain
An abscess or collection of pus in the brain due to a bacterial or fungal infection
Abnormalities in brain structures called Chiari malformations
Blood vessel disease, such as a brain aneurysm
Hydrocephalus or fluid buildup in the brain
Complications arising from brain surgery procedures
Side effects of radiotherapy or radiation therapy."
Symptoms of Brain Herniation
Symptoms that can arise due to brain herniation can vary, including:
Dizziness
Headache
Difficulty concentrating
Irregular pulse rate
High blood pressure
Body feels tired
Fainted
Loss of body reflexes
Widened pupil
Convulsions
Cardiac arrest
Cease breathing
" To diagnose a brain herniation, the doctor will perform an examination with X-rays of the patient's head and neck. The doctor may also perform a CT scan or MRI. The goal is to see more clearly the inside of the patient's head and to identify the type of brain herniation the patient is experiencing.
If the doctor suspects a bleeding disorder or a pool of pus in the brain, the doctor will also perform a blood test on the patient."
Handling brain herniation will focus on several goals, namely:
Stabilize the vital signs of the patient
Reduces swelling and pressure in the brain
Treat the cause of a brain herniation when possible
Ventriculostomy endoscopy, to remove brain fluid through a hole at the base of the brain. The hole is made with endoscopic relief procedures.
Craniectomy, to lower the pressure inside the brain. The trick is to lift the skull part of the head near the area that is experiencing swelling
In addition to the above procedures, there are other methods that can be done to overcome brain herniation, namely:
Surgical procedures to remove tumors, blood clots, or abscesses
Tranquilizers, antiseizures, or antibiotics
Taking corticosteroids to reduce swelling
Installation of breathing auxiliary hose
Medications, such as mannitol or hypertonic fluid, to reduce fluid in brain tissue
Complications of Brain Herniation
Untreated brain herniation can be dangerous and lead to serious complications, such as:
Stop the heart or stop breathing
Death of brain tissue
Permanent brain damage
Comas
Deaths
Prevention of Brain Herniation
Brain herniation is difficult to prevent, as the cause is often unknown or occurs involuntarily. However, there are preventable causes of brain herniation, such as infection, head injury, or stroke. Ways of prevention include:
Implement a healthy lifestyle, namely by eating healthy and nutritious, getting enough rest, exercising regularly, and managing stress well
Quitting smoking
Undergo treatment to prevent stroke, if you have hypertension or diabetes
Always maintain personal and environmental hygiene to prevent infection
Be careful when doing activities inside or outside the home
Driving safely, by wearing a helmet while riding a motorcycle, using a seat belt when driving a car, and obeying traffic rules
Avoiding alcohol while driving
See a doctor if you have had a severe head injury, or if you have a disease, such as a brain tumor and aneurysm.
" It's clear Loise."
" It's very clear doc."
" You learn a lot" said Doctor Renold .
" Well doc," said Abi and her friend.
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