Look at that hematoma bulging out!
A subdural hematoma is among the deadliest of all head injuries. It results in blood gathering between the inner layer of the dura mater and the arachnoid mater, usually from tears in bridging veins which cross the subdural space.
The bleeding fills the brain area very rapidly, compressing brain tissue.
All the built up pressure due to the intra-cranial bleeding pushes the hematoma out once craniotomy is done - hence why it's bulging.
It occurs not only in patients with severe head injury but also in patients with less severe head injuries, particularly those who are elderly or receiving anticoagulants.
In a chronic subdural hematoma, small veins on the outer surface of the brain may tear, causing a gradual and slow bleeding in the subdural space, which can hide symptoms for several days or weeks.
Small subdural hematomas can be managed by careful monitoring until the body heals itself. Other small subdural hematomas can be managed by inserting a temporary small catheter through a hole drilled through the skull and sucking out the hematoma. The big ones require surgery.
Photo by @rpaglioli
What is a Ramadan or fasting Headache?
A fasting or Ramadan headache is a type of headache which is very common during fasting episodes. The symptoms are similar to a tension type headache, a mild to moderate pain or constant pressure on both sides of the head. Approximately 40% of people fasting during Ramadan are complaining about headaches. Most often the headache occurs during the first days of the fast but may last during the whole episode. If someone was suffering from headaches or migraine before the risk is higher.
What is the cause?
There might be multiple factors contributing to the phenomena such as Hypoglycemia (low blood sugar), Caffeine withdrawal (caffeine has a well-known analgesic effect in headaches), dehydration, changes in daily habits (fasting and Ramadan routine in a highly productive and competitive work environment like Dubai can lead to additional stress) and lack of sleep.
What can you do?
• After breaking the fast, complex carbohydrates (i.e. whole grains) with a low glycemic index will boost blood glucose levels and provide the longest-lasting energy. By avoiding simple carbohydrates like pure sugar, you avoid a rapid rise in blood sugar levels followed by a fast drop that may trigger a headache. • A cup of strong coffee before the start of the fast will reduce the risk of caffeine withdrawal. • Dehydration during the fast should be prevented by sufficient fluid intake during the meals. • Keep a steady Ramadan routine, avoid going to bed too late and lack of sleep. • In case you cannot control the headaches with preventative measures, medication may be indicated and certain types have shown to be particularly effective e.g. non-steroidal anti-inflammatory drug (NSAID) taken in the morning before starting the fast. If the headaches get uncontrollable or reach a severe intensity, it is advisable to seek specialist medical advice to exclude other causes. People suffering from migraine may also require other treatment during Ramadan.
#headache#migraine#ramadan#fasting#German#Neuroscience#Center#Dubai#UAE | Your #Neurologist , #Psychiatrist , #Psychologist , #psychotherapist , #Counsellor | Specialized in #Neurology
Today's day 60 of my #medicationseries featured here on my Instagram account. Today we're going to be talking about Flexeril. If you have tried this medication, please use the comment section below to share your experiences with it. ⬇️ "Flexeril (cyclobenzaprine) is a muscle relaxant. It works by blocking nerve impulses (or pain sensations) that are sent to your brain." I have no personal experience with this medication. 💊 *Remember that no 2 potsies are the same and although one may experience terrible side effects with one medication, that same medication might be a lifesaver for others* 💊
._ Autismo y alteraciones de las funciones gastrointestinales:
Desde 1996 se han publicado múltiples estudios que describen alteraciones de la permeabilidad intestinal en niños con autismo, tales como hiperplasia nodular linfoide ileal y colitis no específica además de esofagitis, gastritis y duodenitis crónica inespecífica así como alteración de la actividad enzimática intestinal especialmente de las disacaridasas necesarias para procesar los carbohidratos. Esta alteración funcional y propia del tejido es lo que lleva al denominado ∆∆∆Intestino permeable.∆∆∆ Estos pacientes tienen predisposicion a infección por helicobacter pylori, guardia lamblia sobre crecimiento especialmente de la especie de cándida. En estos pacientes es importante la realización de pruebas que demuestren alergia o intolerancia alimentaria siendo recomendable evitar aquellos alimentos que contengan caseína (una proteína contenida en la leche de vaca) y gliadinas que están contenidas en el gluten.
Neuro nerd alert! Excited to have JUST confirmed my role as clinical investigator for a NEW ✨human clinical research study, 'Blood micronutrient analysis, dietary habits, and parkinson' s disease symptom severity' with @nunm_edu. We will be recruiting patients soon... 👀Thankful for the opportunity! Career goal➡️publication, Life goal➡️ contribute to new ways of helping patients! #neurology#parkinsons#nutrition#research#naturalmedicine#naturopathicdoctor#clinical#researcher 👩⚕️💉
👆🏻💁🏻 oh you know, just casually brushing my teeth, while wearing a white coat and taking a selfie while i'm at it. totally normal stuff, nothing to see here. 😂🙈
i once asked a patient who had been in and out of hospitals for years, what she thought was the most annoying thing about doctors. she immediately replied: "their breath. it always smells like coffee!" 😳😬🚫☕️
as someone who drinks coffee 24/7, i naturally took this to heart and now do my best to watch my breath, especially when i'm around patients.
i've been keeping a bottle of GUM mouthwash in my hospital locker for that exact purpose for a whole YEAR, so imagine my face when GUM reached out to me to team up for a little campaign! 😍😂🙈 for a review on the GUM products i've been loving hard this past year, head on over to my instastory tomorrow morning. 💕😌 peace out, peeps! 😷 // #ad#dentalhealth#GUMtannvörur
"So many interesting things happen in doorways, at borders, at the edges of things."
A doorway can represent the end of one adventure and at the same time represent the beginning of another. We welcome each other in door ways and say goodbye, we seek refuge from storms and intrepidly cross through those same doorways to face tempests in our lives.
We will walk through many door ways in our lives physically and even more doors mentally and in numerous other metaphoric ways. These doors will be different sizes and the mysteries and adventures that are on the other side will eternally remain infinite. Not all doors will be open to you, but when one is closed another will always be open. Never forget that just because one door is closed your adventures and dreams are not dead or ended since there is always another door and behind that door even more possibilities.
This door is the entrance of Notre Dame and was taken on my way to another great adventure sitting right on the other side not only in Paris but in my travels, my life, my education, and in my journey in medicine; new opportunities to learn, smile, weep at the sight of immense beauty, observe, heal, help, and inspire hope and change.
What do doorways mean to you❓
📷credit: me 😋
🎊 Congratulations Mimi on graduating SFSU 🎊
I have honestly never met anyone whose schedule is as busy as yours 😐 I don't know how you balanced your life and school but you did 👏🏼 And you're also a CMA too! Seriously, what can't you do?! 😂 Anyways congrats again Niga! YOU FUCKED SHIT UP AND MADE IT 🔥🔥🔥 All that studying was worth it 🙌🏼 #whatwereyoulookingat
Minhas aulas do MED,sao todas as quintas! Quinta tivemos 2 apostila : de Geriatria e de GO.Hoje concluo a de geriatria (Assisti todos os videos referentes,leio toda a apostila,resolvo as questões e faço o mapa mental). Pretendo Iniciar a de GO ainda hoje,pois os videos são mais longos e o assunto (por mais que eu adore) ser um pouco mais puxado. 📚🎯👍☝️✨
Lembre-se : Nossas limitações sempre são da nossa mente. Se você pensa que conseguirá atingir seu objetivo,o seu cérebro realmente começará a trabalhar pra você conseguir. Se você pensa que não irá conseguir,seu cerebro ja cria uma barreira "de preguiça" pra que realmente você nao consiga. Não duvide,o poder está todo em suas mãos,ou melhor,na sua cabeça. 🙏
Пигментный виллонодулярный синовит/
является редким доброкачественным пролиферативным состоянием, поражает синовиальные оболочки суставов, сухожилия или сумки в результате пролиферации синовиальных ворсин и узелковыми образованиями с отложением гемосидерина. PVNS чаще всего моноартикулярный (~ 70% коленный сустав).
🇺🇸Dr Ian Bickle, and A.Prof Frank Gaillard et al.
Pigmented villonodular synovitis (PVNS) is a rare benign proliferative condition affecting synovial membranes of joints, bursae or tendons resulting from possibly neoplastic synovial proliferation with villous and nodular projections and haemosiderin deposition. PVNS is most commonly monoarticular (~70% knee joint) but occasionally it can be oligoarticular. The histology of PVNS can look similar to some aggressive neoplasms (rhabdomyosarcoma, synovial sarcoma, epithelioid sarcoma) and imaging, therefore, has a crucial role in guiding the pathologist. By: tumorlibrary.com, Dr. Mark Awh, Ofluoglu O. , Kingsley R et al.
Many people use this long weekend as a chance to get outside. Getting some sun every day helps us produce vitamin D which has many benefits for the body, including reducing pain. So get outside and soak up some rays 😎
This week has been super busy! Sunday, I traveled across state to see a Neurologist on Monday that my Immunologist referred me to. It was by far worth the trip. He took his time to be thorough through family history, my history, current conditions & symptoms, specialists, my medications, performed multiple in-depth physical & mental exams to test my eyes, nerves & muscles, you name it! He also knows about Common Variable Immune Deficiency! I have right-sided weakness & my left eye is weak which I've known but it was nice to have a doctor see it and check it out. The game plan is to get an MRI of my brain & neck to check for white matter. I'll follow up with him on the results & go from there. If I don't have anything show up going on with white matter, most of my symptoms are most likely from my CVID & other chronic illnesses in combination of course. #lifeofnessleigh