Professional Singer Begins Singing Anew

U/Dr Prasanna AV (Consultant Neurosurgeon - Ruby General Hospital)



We always consider home as the safest haven but, sometimes emergencies take place in the safest of places. Brain hemorrhage is a catastrophic event in any one’s life and it causes a lot of neurologic disabilities like disability and is a leading cause of death today. A 68-year-old professional singer had been presented with a history of fall at home resulting in total paralysis of right sided limbs (Hemiparesis) and was unable to speak. He was deteriorating rapidly and was admitted under the expert care of Dr. Prasanna AV (Senior Consultant Neuro Surgeon) who thoroughly evaluated him and relevant investigations were sent for. The MRI revealed left sided subdural haematoma (A pool of blood between the brain and its outermost covering). The gentleman was a known case of Hypertension and Type II Diabetes Mellitus. After discussion with the family members and with informed written consent the gentleman was posted for surgery. Left Frontoparietal Mini Craniotomy and evacuation of Left Frontoparietal acute on chronic Subdural Haematoma (SDH) had been done. Craniotomy is the surgical removal of a section of the skull in order to access the intracranial compartment. The portion of the skull which is temporarily removed called the bone flap is placed back in its original position and fastened into place with low profile titanium plates and screws after the operation is completed. Postoperatively the gentleman was put on mechanical ventilation and extubated shortly. He was able to talk and move after the surgery and he resumed his singing on the fifth postoperative day. Soon after, the gentleman participated in a singing competition held by the Rotary Club, Kasba and he even qualified for the finals.

Brain hemorrhage is a disease associated with a lot of morbidity and functional disability. It takes a long time for patients to recuperate and return to normal routine. The timely surgery not only resulted in a good recovery but also with a complete preservation of intellectual capacity.  This gentleman on the brink of death is now singing in a professional capacity.

Location: Kolkata, West Bengal, India

Comments

Post a Comment

Popular posts from this blog

Dengue Adds To The Woes Of COVID Pandemic | Ruby General Hospital, Kolkata

Image
Dr. Raktim Guha (Consultant  Critical Care  -  Ruby General Hospital ) A gentleman of over 50 years had been presented in the Emergency Department of Ruby General Hospital with complaints of severe weakness for the last seven days along with fever and was admitted under the expert care of Dr. Raktim Guha (Consultant Critical Care ) . The gentleman was febrile initially and had dengue fever with uncomplicated course previously. On presentation he had severe body ache and rashes over the anterior part of the body and both upper limbs. Considering the pandemic scenario keeping in mind all the probabilities, a thorough evaluation had been done which revealed dengue fever and SARS-CoV-2 infection. The platelet count had been very low (22,000) with increased haemoglobin and P.C.V., so a close watch was kept on two parameters, hydration which was maintained properly with IV fluids, and coagulation profile as the liver function was deranged, which is very common in repeat deng...
Read more

Mother back to her newborn after battling covid, jaundice and pancreatitis

Image
Dr. Prerna Pallavi ( Consultant Gastroenterologist  -  Ruby General Hospital ) 33 years old lady, presented to her treating specialist after she suddenly developed  pain abdomen and jaundice  in last trimester of pregnancy. After initial evaluation she was diagnosed to have jaundice with gall stone disease and hence was taken up emergency caesarean section (outside). However post-surgery she continued to have jaundice with worsening pain abdomen and hence presented to us for further management.  At presentation she was conscious oriented, had  SIRS , mild respiratory distress and abdominal distention. Her covid status was positive with mild disease on HRCT, mixed pattern of jaundice, leukocytosis, b/l pleural effusion with necrotizing pancreatitis and evidence of gall stone disease with no biliary obstruction.   She was started on standard management protocol for covid and  pancreatitis  along with other supportive treatment. With a good nurs...
Read more