| Autor: |
Khin Phyu Pyar, Sai Aik Hla, Win Myint, Win Kyaw Shwe, Soe Win Hlaing, Zaw Min Tun, Han Lin Aung, Phyo Htet Oo, Kyaw Zayar Lin, Moe Tun Zaw, Kyaw Zay Ya, Myo Thant Kyaw, Nay Myo Aung, Than Naing Lin, Soe Moe Htun, Zay Phyo Aung |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Biomedical Research and Clinical Reviews. 6:01-06 |
| ISSN: |
2692-9406 |
| Popis: |
A 58 year old man was brought to hospital in state of deep coma following severe headache for one day. His GCS was 3/15 and had flaccid all 4 limbs with equivocal planter response on both sides on arrival. NECT head showed acute subdural haemorrhage with surrounding cerebral oedema, mid-line shift and corning of brain stem. After giving mannitol and dexamethasone, four hours later, he became fully conscious and orientated; his motor power returned to normal. He was on warfarin 3mg daily for rheumatic mitral valvular heart disease with atrial fibrillation and his INR on arrival was 3.5. He had intractable hiccups once he regained consciousness. Both pharmacological and non-pharmacological measures were tried for distressing hiccups; there was no therapeutic success. His hiccups disappeared completely only after removing the haematoma by burr hole surgery. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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