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Haemorrhagic brain injury: a care study.
Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|July 15, 1992
Summary
A 20-year-old experienced two aneurysms, resulting in hemiplegia and behavioral issues. Neuro-rehabilitation within environmental limits helped manage his complex neurological deficits.
Area of Science:
- Neurology
- Neurosurgery
- Rehabilitation Medicine
Background:
- Subarachnoid hemorrhage (SAH) can lead to severe neurological deficits.
- Multiple aneurysms present complex management challenges.
- Young adults are susceptible to cerebrovascular events like aneurysms.
Observation:
- A 20-year-old male sustained two subarachnoid hemorrhages from distinct aneurysms within two weeks.
- Post-surgical clipping of both aneurysms resulted in persistent hemiplegia.
- Significant behavioral changes including incontinence, sexual disinhibition, aggression, and spitting were noted.
Findings:
- Successful surgical clipping of bilateral aneurysms was achieved.
- Despite surgical success, profound neurological and behavioral deficits persisted.
- A multidisciplinary neuro-rehabilitation approach was implemented.
Implications:
- Effective management of complex post-aneurysm neurological deficits requires tailored rehabilitation.
- Environmental limitations within a neuro-rehabilitation unit can aid in managing challenging behaviors.
- This case highlights the long-term impact of aneurysms on young adults and the importance of specialized care.