Thrombolysis for massive pulmonary embolism in the presence of recent neurosurgery: a case report

A young man developed massive pulmonary embolism after two weeks of head trauma and brain surgery for temporal lobe contusion and evacuation of intracerebral hematoma. He was thrombolysed with tissue plasminogen activator as a life saving measure, as he was haemodynamically unstable for emergency pulmonary thromboembolectomy. He improved quickly after thrombolysis without any untoward bleeding. Later, he underwent insertion of an inferior vena cava filter to prevent recurrence

Post-traumatic intraventricular hemorrhage: analyssis of 19 cases

Post-Traumatic Intraventricular Haemorrhage (IVH) occurs after a traumatic head injury and is usually associated with an adjacent intracerebral hemorrhage or brain contusion. Post-traumatic IVH was associated with other brain lesion in most cases. In fact, thepethogenetic mechanism that governs the formation of a post-traumatic IVH is not clear. Computed tomography represents the first reliable and nonsurgical tool for identifying IVH, where the sites of ventricular haemorrhage have been analysed. Ventricular drainage is used to made a good recovery in pacients with IVH. Prognostic in traumatic IVH, in general, is poor. In our study, we had 19 pacients with IVH, with 76 per cent male and 24 per cent female. Age average's were 30,3. As for the causes we had hit by a car, car collision, gunshot accident, fall and fight. CT was very important to detect IVH in our cases. The surgery was more frequent in our study when additional intracranial lesions were present. There were 8 death and 11 pacients had good recovery