Background: Diffuse axonal injury (DAI) is a very common form of blunt head injury. It is distinct form of head injury, occurring due to impact of external forces like acceleration/deceleration acting directly at the time of the trauma, and not produced by secondary changes like hypoxia, brain swelling or raised intracranial pressure. DAI is associated with sizeable mortality and morbidity. There is always some disability remained as a sequel on recovery from such injury.

Case Study: Here is a case study having DAI following severe head injury suffered in a road traffic accident and modern surgical line of treatment failed to treat the vegetative state but this challenging case was recovered completely on Ayurvedic line of treatment. It was a heartening finding that there was complete recovery without any disability.

Conclusion: This case study established that Ayurved is capable of playing important role in the recovery of such complicated cases and preventing deaths.

Keywords: DAI, Head injury, Shirobhighat, Vegetative state, Ayurvedic management.

1. Diffuse Axonal Injury. Wikipedia. https://en.wikipedia.org/wiki/Diffuse_axonal_injury
2. Gennarelli TA. Cerebral concussion and diffuse brain injuries. 2nd ed. In: Cooper PR, editor. Head Injury. Baltimore: Williams & Wilkins (1987). p. 108–24.
3. Gennarelli TA. Cerebral concussion and diffuse brain injuries. 3rd ed. In: Cooper PR, editor. Head Injury. Baltimore: Williams & Wilkins (1993). p. 137–58.
4. Rita de Cassia Almeida Veira, Wellingson Silva Paiva, Daniel Viera de Oliveira, Manoel Jacobsen Teixeira, Almir Ferreira de Andrade and Regina Marcia Cardoso de Sousa: Diffuse Axonal Injury: Epidemi-ology and outcome and associated risk factors. Front Neurol. Vol.7. 2016:178. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5071911/
5. Dhrmadhikari Anant: Chapter 2.5 C. Aavran sankalpana .In " Charak Uhan ". First Marathi edition. Bhartiya Sanskriti Darshan trust, Wagholi, Pune-411 007; 31^st July 2015. p: 185-186
6. Acharya Jadavaji Trikamji, editor. Charak samhita by Agnivesa of Chakrapani Datta, Siddhisthan: Chapter 1, Verse 7. Chaukhambha publications, New Delhi .Reprint 2016. p: 678
7. Acharya Jadavaji Trikamji, editor. Charak samhita by Agnivesa of Chakrapani Datta,. Siddhisthan: Chapter 9, Verse 88. Chaukhambha publications, New Delhi .Reprint 2016. p:722
8. K.Rajgopal Shenoy & Anitha Shenoy: Chapter 45: Neurosurgery-Head injuries. In Manipal Manual of Surgery. 4th ed. CBS Publishers & Distributors Pvt. Ltd., New Delhi. 2014. p:1035-1039

Dr Sarita Pradip Gaikwad

M.D. (Manas rog), Ph.D. (Kayachikitsa)

HoD, Ayurved Research Department, Sassoon General Hospital, Pune and

Assistant Director, AYUSH, Pune Region, Pune. (Maharashtra State, India)

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mob: 98822025105