A Complex Intracerebral Hemorrhage Case Report: Intracerebral Hemorrhage, Intraventricular Hemorrhage, and Hydrocephalus in an Addicted Patient.

BACKGROUND: Despite progression, the mortality rate following intracerebral hemorrhage (ICH) is still high; only 25 % of subjects achieve functional independence at three months. The survey presents a complex addicted case report with ICH, intraventricular hemorrhage (IVH), and hydrocephalus co-occurrence. CASE PRESENTATION: The patient was a 48-year-old man with a history of hypertension and addiction. On admission time, his GCS was 4/15, desperate in response to painful stimulation. There were no traumatic effects on the body. In response to painful stimulation with his right upper limb, he localized the site of pain. DISCUSSION: According to the function of EVD, it was removed three days after surgical treatment, and the patient was extubated seven days after surgery. On the 13th day after surgery, the patient's GCS increased to 12; the patient was OBEY. CONCLUSION: In the current survey, we tried to discuss the management of ICH through a complex case and an inferior prognosis. Our data indicated that with proper interpretation and surgical management of ICH, it is possible to save the survival of ICH patients even in complex situations.

Brown-Séquard syndrome caused by multiple knife trauma gunshot with late debridement: Two cases report and literature review.

INTRODUCTION AND IMPORTANCE: Brown-Séquard syndrome (BSS) is a rare syndrome consequence of interruption in the spinal cord following traumatic or non-traumatic injuries. Although, based on the previous literature, BSS has a good prognosis, some reports do not complete recovery following BSS. CASES PRESENTATION: In this current survey, we present two aggressive BSSs with complete recovery. One case involved a man aged 23 years without any underlying disease with multiple traumas with a knife who was transferred to the level 1 trauma center knife. Case two was a man 36 years with a gun shutting in C6 level. CLINICAL DISCUSSION: C5 total laminectomy and C4 and C6 partial laminectomy were done due to the sharp knife. Three months later, the patient achieved full recovery. After C6 total laminectomy in case 2, the patient was discharged without defect. CONCLUSION: Incomplete spinal cord injuries are challenging to diagnose and treat. Due to esophageal rupture and late debridement, full recovery was not expected. Despite neurological impairments, full recovery was achieved over three months in two cases. Also, many factors can aggravate the initial trauma in gunshot spine injury patients.