Research on Dengue patients conducted by doctors at Kota Medical college

Research on Dengue patients under Dr. S.N Gautam of neurosurgery department

Now the whole world will learn about the research on Dengue patients conducted by doctors at Kota Medical college. This research will serve as a guideline in those cases where brain hemorrhage or hemorrhage fever happens due to Dengue. 

The research has been accepted for the international journal. It will be published in its next issue. The research was based on the theme that which Dengue patients can benefit from surgery and which can't. The result was that if the hemorrhage is deep inside the brain then there is no point in surgery and is very risky. Under Dr. S.N Gautam of neurosurgery department, this research was done by the doctors on 1600 dengue patients at the medical college. This is one of the first research in neurosurgery in the case of Dengue. 

Research on Dengue patients

Study Facts -

Around 1600 patients of Dengue visited the Kota Medical college between Jan and Dec 2015. Around 300 patients were admitted due to bleeding and other reasons. 

About 18 patients were diagnosed with Hemorrhagic fever and were admitted in neurosurgery. Last year Hemorrhagic patients in Dengue was 1.2 percent which is high and out of which 6 cases were operated and one died. 

Those patients who were saved by operation had the extradural or subdural hematoma. But the patient who died had deep hemorrhage which is known as the intracerebral hematoma. 

The research made it clear that while undergoing operation it has to be noted that the patient has been admitted on time, is less than 60 years and doesn't have other diseases like diabetes and asthma and their platelets should be at least 1 lakh. 

Operation process 

The first layer in the brain is bone, the second layer is dura and the third layer is the brain itself. The hematoma between fist and the second layer is called extradural hematoma, between the second and third layer, is called subdural hematoma and inside the brain is called intracerebral hematoma. 

The research has made it clear that intracerebral hematoma should not be operated. If the first layer has hemorrhage then neurosurgeons open the bone layer clean the bleeding and hemorrhage and then reseal the bone layer. If this hemorrhage is in the second layer then bone and dura also have to be opened. If it is inside the brain then after two layers the brain also has to be opened. 

Why does hemorrhage occur? 

When platelets become very low then blood clotting process becomes weak and bleeding starts and hemorrhage occurs. Platelets help in blood clotting.