Hana Zelenková
Private Clinic of Dermatovenereology – DOST SvidnÃk, Slovakia
Title: Therapeutic management of extensive pressure ulcer affecting occipital and parietal bone
Biography
Biography: Hana Zelenková
Abstract
A female patient of 81 years, in good health condition, living on her own in a house suffered a stroke in 2001, and in 2010 she was diagnosed with an inoperable brain tumour (meningeoma). Apart from occasional memory loss and short term nausea she had no difficulties and could take care of herself. Following a visit she paid to her relatives in December 2013 she suddenly lost consciousness, fell and was left lying on a stone floor until her relatives found her after two days. She developed an extensive pressure ulcer in the location between her shoulder blades and the occipital and parietal bone in the scull, accompanied by loss of hair, skin, and subcutaneous tissue up to the bone in the area of 10x12 cm. After two months of hospitalisation at the Department of Neurology her general condition has been stabilised, she communicates, but her mobility is limited. The pressure ulcer between her shoulder blades heals quite effectively, the manifestations on the cranium are stagnant, the pressure ulcer shows callous margins, and the bone is coloured dark brown to black. Since March 2014 the therapy included gel preparations, and we also have commenced stem cell therapy with a very good effect, in October 2015 an extensive pressure ulcer is complete healing.