Complex case

Patient w/ h/o TBI due to MVA resulting in cardiac arrest but was able to ROSC after 10min and 40min SE later. Underwent crani for TBI site and VP shunt placed but incision site was later infected, second crani for laser ablation of decayed parts of brain. VP shunt failed 7yrs later needed to be replaced.

Patient currently taking 5 types of AEDs and smokes MJ daily but had a SE event lasting 9min two weeks prior to their outpatient ambulatory. Deep scar tissue and skull deviation along F4 curving along C4 and T4. VP shunt scaring located near F3 curving towards C3.

The CT scan shows how much brain was cut out of the right side and the slight midline shift.

The EEG shows R centrotemporal breach rhythm but everything else apppears normal and functioning. Patient is partially paralyzed L side of entire body and is in a wheel chair for life.