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Case ReportOCA HospitalGustavo Villarreal Reyna MD.Endovascular NeurosurgeryPatient Information: Male, 16 years oldHeight175 cm (5 feet 7 inches)Weight76 kg (167 lb)Enrollment date and time:Injury date: 04:00 June 2nd 2012Hospitalization time: 05:00 June 2nd 2012

Patient AAMAIndividual patient dataIntubation before hospital admissionYes/NoSedation before hospital admission Yes/No

Paralysis before hospital admission Yes/No

Admission GCS scoreEye Opening: |_3_|Verbal Response: |_4_|Motor Response: |_5_|Total Score E+V+M|_1_||_2_|Patient without any medical records before the accident.

He is admitted at 5 am with a frontal traumatic brain injury, he was hit with a baseball bat.

Medical historyGCS 12 E3 V4 M5Disoriented in time and placeLeft sided hemiparesia and hyperreflexiaRight frontal subgaleal hematomaNormal pupillary reactivityLeft Pupil 3 mmRight Pupil 5 mm

Physical examinationBlood and Urine tests without clinical significance.Laboratory testsCT

Right Frontal Epidural HematomaDiagnosisCraniotomy and evacuation of the hematoma.Acute phase administration of 50 ml/day. Principle action

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BeforeAfterThe patient was hit with a baseball bat in the right frontal region and admitted with a 12 GCS, confussion and left side hemiparesia.

CT scan reported a right frontal epidural hematoma and a craniotomy and evacuation of hematoma was performed, also first treatment cicle of Renacenz is started.

After 24 hours, the patient has 15 GCS, and hes improving movility in the left side of the body.

DiscussionAt the end of the first cicle of Renacenz treatment the patient was fully recovered, without any neurological impairment.

Renacenz has proven to be a helpful resourse to improve patients outcome, but we must not forget the role of decompressing surgery in the traumatic brain injury.

DiscussionThank you!