68 YRS OLD WITH PREVIOUS HISTORY OF BPH/HTN/ VITILIGO HAD A FALL IN BATHROOM AND CT CRANIUM SAYS-Very small mildly enhancing extra axial hyper dense collection over left high frontal convexity.In view of trauma this is most likely representing sub acute sub dural bleed. EEG-ABNORMAL AND SUGGESTIVE OF GENERALISED SEIZURES-INTER- ICTAL EPILEPTIC ACTIVITY. NEUROPHYSICIAN SUGGESTS TAB VALPARIN CHRONO 300 MG 1 BD FOR 30 DAYS AND TAB REJUNEX OD PREVIOUS MEDICAL HISTORY-BPH TAKING TAMSULOSIN 1 OD/ HTN-TAKING TAB AMLODIPINE 5 MG 1 OD PLEASE ADVISE FURTHER COURSE OF ACTION...THANKS
You should continue this medication and monitor patient sensorial closely especially right side for 2 months if he develops seizure, become dull, not able to speak, pass urine in bed or weakness in right half of body and not able to walk then urgently do repeat MRI brain to see the status of subdural bleed as it can increase in size. If it increases in size then urgently consult neurosurgeon or neurologist surgeon.