April 29 update
Big news. The patient has spoken, repeating, among other things the name of the rehab doctor who reports this. I consider this major progress. This is 3rd hand. Visiting hours start in 2 hours and 13 minutes. I may update after seeing and hearing and all that.
Old news: April 28 patient agitaated to the point that benzodiazapenes (aka valium) were administered. Reportedly patient was trying to get up on hands and knees.
Notably pattern of dilated pupils and racing pulse can be flight or fight response (aka adrenaline) directly caused by brain trauma.
Pulse definitely responds to stimuli in an exaggerated but otherwise normal way (eg other patient getting angry and nurse responding sharply).
All managed (although note example of stimulus -- maybe better managed somewhere quiter than the ICU ward).
Here is the referto of the MRI. See the key point is that there is contusion but not detectable ischemia (suspected some small areas of ischemia somewhere). The effects should be temporary. Also Dr Veneziani says the bruised area has no known function -- when it is removed to remove a tumor, there are no known effects. So very good my effort to translate Exam rquested and executed in basal conditions with sequence t1,t2,presente, flair, GRE T2 amd with sequences weighed in diffusion according to axial, sagitale and coronal axes and with an axial sequence aiming in correspondende to the “tratto di rachide” C-4-C6 Extensive craniotomy temporal and fronto- parietal on the left. A collection of extracerebrale fluid collected near the surgical breach of maximum thickness of 18mm. Frontal and temporal bilaterally (walways more evident on the left, there is an extensive area of hyperintensity in the FLAIR and T2 sequences with some characteristics also of a hypointense component i
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