Mild cerebral edema, post-nasal drip. Serious?

Question

Hello doctor,

A 23-year-old male patient hit with bike accident, fell on back side of head, CT (Computed Tomography) scan reports reveals mild cerebral edema, with some facial fractures, currently patient is having blood clots discharge as post-nasal drip, and not associated with headache, dizziness, seizures, fainting, etc. Please let me know the cause for blood clots discharge as post-nasal drip and is mild cerebral edema complicated?

Answer 1

Hello,

Welcome to icliniq.com.

I have read your concern. You might be worried about the cerebral edema and if this will cause any harm. A repeat 48-hour CT (computed tomography) scan with any signs of wakefulness deterioration is warranted if that ever happens. The blood clots are a sequela of the trauma to the face. Most commonly this is part of the superficial veins near the nostrils called Kiesselbach's plexus. This will heal.

Give it 2 to 3 days until it gets crusted by itself with the help of the antibiotics to lessen chances of infection. If the CT scan is normal other than the mild cerebral edema that is seen, then no further medical and neurosurgical procedure is needed. The zygoma fracture and orbital fracture are also not worrisome if they do not cause any deformity (like a protruding bone) and do not need any procedure for them if they do not obstruct your visual field or puncture the globe of the eye. I agree with antibiotics and saline spray three times a day. It would also help to take some Ibuprofen to lessen the inflammation and swelling if taken every eight hours.

I hope this helps.