A CASE OF CEREBROSPINAL FLUID LEAK
One of my
patient brought report (on 17.11.2014) of his friend’s wife which reads as –
Pt name – E
N K
Age – 35 yrs
Date- 14.11.2014
Ref. by –
Dr. XYZ MS DORL
C/O – Rt
Nasal Watery Discharge since 28 days
About 1 cc
of clear colorless fluid received
Fluid Sugar
– 48 mg/dl
Conclusion:
Possible CSF leak
She was
advised for Cisternography at Mumbai. They had taken appointment of 18.11.2014.
My patient’s
genuine concern was this pt should be cured by Homoeopathy and should have no
need of Allopathy. So, he wanted me to give medicine even though patient was at
her place.
While I was
enquiring about patient’s complaint, he (my old pt) told that this discharge
started 5 days after PUP in house fell down on pt’s head.
After that
she had fever with soreness of body.
She is
feeling irritated with this complaints. She says, “I am fed up know
(Vaitagli)”.
With this
data I had to prescribe her medicine which will fulfill my pts expectation from
me.
(Sometimes
situation come like this, that your pts have more confidence-cum-faith than
you.)
Rubrics
selected were:
MIND -
IRRITABILITY - pain, during
MIND -
DISGUST
GENERALS -
INJURIES - traumatic fever
GENERALS -
INJURIES - concussion
GENERALS -
PAIN – sore
Result of
Repertorization:
Arn – 11/5,
Puls – 9/4, Ars – 8/4, Chin – 7/4, Sulph – 7/4
Arn 1m 3
doses were given with 15 min interval with placebo hrly
At
Evening 5:30pm-
Slightly
better
Next
morning –
Much better
but going to Mumbai as taken appointment for Cysternography.
19.11.2014
–
CT
Cysternography report through fax:
Remarks – Intrathecal contrast leak
from the right cribriform plate into the right middle, right anterior ethmoid
sinuses; no major bony defect or fracture seen.
Corresponding inflammatory changes at
ethmoid and right maxillary sinuses.
They advised URGENT OPERATION as this may
cause complications like Meningitis, Viral encephalitis etc. and patient will
be critical and should be tackled within ICU. So, decide as early as possible.
At
Evening (19.11.2014):
Patient
herself came. NASAL DISCHARGE TOTALLY STOPPED but now sever headache > hard
pressure, pain fro shoulder to neck to vertex++, Bandaging head tightly <
jar, jerks
Back pain
since Anesthesia Inj. By ENT
BP – 130/88
P/R – 64/min
Wt – 108 kg
Placebo 2
hrly continued.
22.11.2014 –
Everything
is fine except heaviness in head.
This
heaviness of head took about 1 week to get settled.
This case
proves efficacy of HOMOEOPATHY in emergency cases.