期刊名称：International Journal of Early Childhood Special Education
电子版ISSN：1308-5581
出版年度：2022
卷号：14
期号：5
页码：4508-4511
DOI：10.9756/INTJECSE/V14I5.538
语种：English
出版社：International Journal of Early Childhood Special Education
摘要：Intraparenchymal hemorrhage (IPH) is one form of intracerebral bleeding in which there is bleeding within brain parenchyma. The other form is intraventricular hemorrhage (IVH). Case presentation: A 36-year-old- male admitted in Tertiary care hospital Wardha,at Neuro ICU. With the complaints of giddiness, left side weakness, high blood pressure, multiple episodes of seizure, numbness of the face and limbs of left side, nausea and vomitingsince 1 days ago. No history of hematemesis, abdominal, cold, cough, No history of trauma. Previous treatment, no prior hospitalization. There was no associated illness were present like Diabetes mellitus, tuberculosis, and thyroid disorder. No any significant past history. Physical examination and systemic examination was done. In respiratory system: bilateral clear, cardiovascular: heart sound was normal, central nervous system: G.C.S.- E3 V5 M4 abdominal examination: soft and nontender. musculoskeletal system: lower limb weakness. Therapeutic management: Patient was admitted to Neuro ICU for conservative management of giddiness, left side weakness, high blood pressure, multiple episodes of seizure, numbness of the face and limbs of left side, nausea and vomiting . All the routine investigation was done.The patient had been investigations, for example, blood test, Physical examination, X-ray, CT scan of head , MRI , ECG and X-ray, angiography was done .such as cardiopulmonary monitoring, intracranial pressure monitoring, and electroencephalogram may be performed, respectively, to assess heart and lung function, monitor rise in pressure around the brain, and rule out other diagnoses such as seizure. To confirm the diagnosis of intraparenchymal haemorrhage with facial paralysis, a highresolution computed tomography (H.R.C.T.) was used. Patient was started onIV fluid, Diuretics, anticoagulation, antibiotics,antacid, antiemetics , anticonvulsant and another supportive medications.Surgery opinion was taken and patient was advised for conservative management.Surgery opinion was taken and patient was advised for conservative management. Conclusion: due to conservative management and quality nursing care patient condition was stable and had no active complaints at present hence patient is being discharged.
