caso renacenz win

1. OCA Hospital
Gustavo Villarreal Reyna MD.
Endovascular Neurosurgery

2.  Patient Information: Male, 16 years old
 Height：175 cm (5 feet 7 inches)
 Weight：76 kg (167 lb)
 Enrollment date and time:
◦ Injury date: 04:00 June 2nd 2012
◦ Hospitalization time: 05:00 June 2nd 2012

3. Intubation before hospital admission Yes/No
Sedation before hospital admission Yes/No
Paralysis before hospital admission Yes/No

4. score
Eye Opening: |_3_|
Verbal Response: |_4_|
Motor Response: |_5_|
Total Score E+V+M |_1_||_2_|

5.  Patient without any medical records before
the accident.
 He is admitted at 5 am with a frontal
traumatic brain injury, he was hit with a
baseball bat.

6.  GCS 12 E3 V4 M5
 Disoriented in time and place
 Left sided hemiparesia and hyperreflexia
 Right frontal subgaleal hematoma
 Normal pupillary reactivity
◦ Left Pupil 3 mm Right Pupil 5 mm

7.  Blood and Urine tests without clinical
significance.

9.  Right Frontal Epidural Hematoma

10.  Craniotomy and evacuation of the hematoma.
 Acute phase administration of 50 ml/day.

15.  The patient was hit with a baseball bat in the
right frontal region and admitted with a 12 GCS,
confussion and left side hemiparesia.
 CT scan reported a right frontal epidural
hematoma and a craniotomy and evacuation of
hematoma was performed, also first treatment
cicle of Renacenz is started.
 After 24 hours, the patient has 15 GCS, and he’s
improving movility in the left side of the body.

16.  At the end of the first cicle of Renacenz
treatment the patient was fully recovered,
without any neurological impairment.
 Renacenz has proven to be a helpful resourse
to improve patients outcome, but we must
not forget the role of decompressing surgery
in the traumatic brain injury.

17. Thank you!