Unusual Case of Head Injury Presented with Brain Gliomas
Varsha Gajbhiye
Department of Pharmacology, Datta Meghe Medical College, Nagpur, India.
Shubhangi Patil (Ganvir) *
Department of Paediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India.
Sarika Gaikwad
Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India.
Sushma Myadam
Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India.
*Author to whom correspondence should be addressed.
Abstract
Seven years female child came with parents who gave us history that 1month back, child during playing had fall on face and lost consciousness which remained for 30 min followed by convulsion. On examination patient was conscious, responds to command, vitals were stable, aphasia was present, pupils were equal and reactive to light bilaterally and horizontal gaze was restricted. There was no facial weakness, Tone increase more in left upper and lower limb .Deep tendon reflexes (DTR) increase in left side. Plantar reflex were extensors. MRI was done which shows intra axial space occupying lesion in brainstem with expansion of brainstem with hydrocephalus. Pt was inoperable and ventriculoperitoneal shunt was done for hydrocephalus. Post operatively patient was kept on assisted ventilation.
Conclusion: Unusual presentation of brainstem gliomas as head injury.
Keywords: Hydrocephalus, space occupying lesion, ventriculoperitoneal shunt, brain gliomas