scholarly journals Resting Tremor after Mild Head Injury: Case Report

2016 ◽  
Vol 38 (01) ◽  
pp. 068-072
Author(s):  
Marcelo Magalhães ◽  
Ana Martins ◽  
Anna Freire ◽  
Jamile Dias ◽  
Ludmila Ribeiro ◽  
...  
Keyword(s):  
Head Injury ◽  
Head Trauma ◽  
Movement Disorders ◽  
Present Report ◽  
Rare Complication ◽  
Mild Head Injury ◽  
Lentiform Nucleus ◽  
Rest Tremor ◽  
Optimal Drug ◽  
Post Traumatic

AbstractOver the past few decades, it has been recognized that traumatic brain injury (TBI) may result in various movement disorders. However, moderate or mild TBI only rarely causes persistent post-traumatic movement disorders. In the present report, we describe a case of secondary tremor due to a mild head injury with a transitory loss of consciousness. A 26-year-old man developed an isolated rest tremor of the hands and legs without other neurologic signs. The interval between the head trauma and the onset of the symptoms was 4 months. Neuroimaging studies reveled gliosis in the lentiform nucleus. Haloperidol administration resulted in tremor reduction. A rest tremor, similar to essential tremor, can be a rare complication of head trauma. Haloperidol may be an effective and safe treatment modality for post-traumatic tremor. Further studies are needed to clarify the optimal drug for the treatment of post-traumatic tremor.

scholarly journals DIAGNOSIS AND MANAGEMENT OF COMPUTED TOMOGRAPHY IN HEAD INJURY

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Dr. Dileep Kumar Jha ◽  
Dr. Rajnikant Narsinhbhai Chauhan
Keyword(s):  
Computed Tomography ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Head Injury ◽  
Head Trauma ◽  
Severe Head Injury ◽  
Mild Head Injury ◽  
Age Group ◽  
Ct Findings ◽  
Craniocerebral Injuries

Introduction: In human body there are many causes of the injuries. Among all the injuries head injury is also one of the most important injuries which may cause morbidity and mortality. Craniocerebral injuries or Traumatic brain injury (TBI) is defined as any structural skull traumatic injury with alterations of cerebral physiology as a result of an external force either in the form of chemical energy, mechanical energy, electrical energy or thermal heating. Globally craniocerebral injuries or Traumatic brain injury (TBI)is cause of disability in young patients, especially those  <40 years of age. TBI is classified as mild, with most showing adequate and quick recovery. Nevertheless there are some kinds of TBI which showed persistent disabling symptoms that interrupt with their normal daily routine activities. Brain imaging is very important for the patients who suffer traumatic brain injury. In the emergency services Computed tomography (CT) is recommended as first assessment that provides initial information and diagnosis to identify the need of surgery. It also helps in the following of the patient and the evolution of pathology. Many studies suggest that CT can be used to predict patient outcomes. Computed tomography (CT) is an imaging technique which uses as dynamics of injected contrast material, allows rapid quantitative and qualitative evaluation of cerebral perfusion by generating cerebral blood volume (CBV), cerebral blood flow (CBF) and mean transit time (MTT) maps providing clinically important information with stroke subarachnoid hemorrhage (SAH)and head injury. Aim: The main aim of this study is to evaluate the computed tomography findings sustaining head injury and role of computed tomography scan in head injury. Material and Methods: During the study total 90 patients with head injury were included with different age group from 20 to 70 years old. Glasgow coma score (GCS) range 4–15 (mild head injury: GCS >14; moderate head injury: GCS = 9–13; severe head injury GCS <8) were also included in this study. For all the patients with head injury Computed tomography (CT) image were performed with siemen's somatom spirit dual slice spiral CT machine and a protocol of contiguous axial 5-mm sections through the posterior fossa and a contiguous 10 mm axial sequential scans for the rest of the brain and thinner cuts were also taken whenever required. For visualize any fractures of the skull bone algorithms with wide window settings were studied. After initial resuscitation, severity of the cranio-cerebral trauma was graded with the help of Glasgow Coma Scale (GCS) into mild head injury (GCS13- 15), moderate head injury (GCS 9-12) and severe head injury (GCS 3-8). Result: Among total patients sixty five (72.2%) patients were male and twenty five (27.8 %) were female with age range from 20 to 70 years old. In the age group 31-50 year group showed highest frequency of head trauma. The most common causes of head injury were RTA (65.6%) followed by fall injuries (20%) and physical assaults (14.4%). Among patients with head injuries Loss of consciousness and vomiting were the commonest clinical features brought to emergency. Out of 90 cases 59 (65.5%) cases showed mild head injury followed by 14(15.6%) cases sustained moderate head injury and 17(18.9%) had severe head injury. In all types of severity of head injury RTA was the prime etiological factor. Out of total cases 31(34.4%) had normal CT findings and 59(65.6%) had abnormal CT findings. Abnormal CT findings were seen in 59(65.6%) sustaining mild head injury and in all the patients with moderate and severe head injury. Out of 90 cases 13 cases with severe head injury had mortality. The most common mode of injury to cause the mortality was RTA. Five patients with severe head injury also had cervical spine injury Conclusion: This study concludes that use of CT in head trauma can finds high prevalence of head trauma related to CT. Therefore CT should be done when clinically necessary that helps to reduce cost and avoids unnecessary exposure to radiation. Keywords: Head injury, Traumatic brain injury (TBI), computed tomography (CT), Glasgow coma scale (GCS)

Posttraumatic movement disorders after moderate or mild head injury

1997 ◽  
Vol 12 (3) ◽  
pp. 428-431 ◽  
Author(s):  
Joachim K. Krauss ◽  
Rolf Tränkle ◽  
Karl-Heinz Kopp
Keyword(s):  
Head Injury ◽  
Movement Disorders ◽  
Mild Head Injury

The Influence of Sex and Pre-Traumatic Headache on the Incidence and Severity of Headache After Head Injury

Cephalalgia ◽  
1990 ◽  
Vol 10 (6) ◽  
pp. 285-293 ◽  
Author(s):  
Ole Kudsk Jensen ◽  
Frank Farsø Nielsen
Keyword(s):  
At Risk ◽  
Relative Risk ◽  
Head Injury ◽  
Head Trauma ◽  
Control Group ◽  
Trauma Patients ◽  
Significant Difference ◽  
Post Traumatic ◽  
Headache Patients

Pre- and post-traumatic headache of 168 individuals aged 18–60 years was registered 9–12 months after a head trauma. Headache before the trauma was reported by 39.9%, women being in the majority. After the trauma 64.3% were suffering from headache. Post-traumatic headache was reported by 64 patients (38.1%), of whom 22 patients experienced an increase of already existing headache and 42 patients complained of new headache. Patients suffering from headache before the trauma were not more at risk of having post-traumatic headache than patients who did not suffer from headache before the trauma. Patients who experienced an increase of already-existing pre-traumatic headache used more analgesics than patients first suffering from headache after the trauma. Post-traumatic headache was reported by more women than men ( p < 0.02), the corresponding relative risk being 1.6. Both the use of analgesics and the frequency of headache showed a significant increase for patients with post-traumatic headache when compared with a “control group” of 41 patients with unchanged headache and when compared with all patients with headache before the trauma. There was no significant difference in the location of pain between the groups analysed.

Prospective Study of Validity of Neurologic Signs in Predicting Positive Cranial Computed Tomography following Minor Head Trauma

2010 ◽  
Vol 25 (1) ◽  
pp. 59-62 ◽  
Author(s):  
Yassir S. Abdul Rahman ◽  
Ahmed Sami S. Al Den ◽  
Kimball I. Maull
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
Prospective Study ◽  
Head Trauma ◽  
Clinical Findings ◽  
Cranial Computed Tomography ◽  
Loss Of Consciousness ◽  
Mild Head Injury ◽  
Cranial Ct ◽  
Ct Findings

AbstractIntroduction:The ability to discriminate among a large number of patients with mild head injury to detect those most likely to have an intracranial abnormality may offer an advantage in mass-casualty situations and when clinical needs exceed diagnostic capabilities.Hypothesis:In patients with mild head injury (Glasgow Coma Scale score = 13−15), the likelihood of intracranial abnormality, as defined by cranial computed tomography (CT), varies according to presenting neurologic signs and symptoms.Methods:This prospective study consisted of 152 patients with blunt head trauma and one or more of the following: initial loss of consciousness (LOC), headache, vomiting, convulsions, or amnesia. All underwent cranial CT within one hour of presentation. Positive CT findings were defined as cerebral contusion, extra-axial hematoma, intra-ventricular or subarachnoid hemorrhage, brain edema, and skull fracture. Clinical findings were tabulated and compared with CT findings.Results:The most common symptoms were headache (61%) followed by followed by LOC (45%), vomiting (39%), amnesia (29%), and convulsions (4%). Convulsions were the most predictive of a CT positive finding (80%); history of LOC was least predictive (29%). The presence of two or more clinical findings tended to increase the likelihood of intracranial abnormality, but the association was neither consistent nor additive.Conclusions:Convulsions occurring in a patient with mild head injury are highly predictive of a positive intracranial finding on CT. Headache, amnesia, and vomiting are each likely to show positive findings in approximately 40–45% of cases. Although the least predictive of the neurologic findings studied, loss of consciousness still correlates with a positive cranial CT in 29% of cases. More than one sign or symptom increases the likelihood of concurrent brain injury.

scholarly journals CHARACTERISTICS AND RISK FACTORS OF CHRONIC POST-TRAUMATIC HEADACHE AFTER MILD HEAD INJURY- A STUDY IN A TERTIARY CARE CENTRE IN EASTERN INDIA

2019 ◽  
Vol 8 (17) ◽  
pp. 1376-1380
Author(s):  
Ramesh Bhattacharyya ◽  
Shantanu Ghosh ◽  
Kartick Chandra Ghosh ◽  
Sarbajit Ghosh ◽  
Suman Das ◽  
...  
Keyword(s):  
Risk Factors ◽  
Head Injury ◽  
Tertiary Care ◽  
Mild Head Injury ◽  
Care Centre ◽  
Eastern India ◽  
Tertiary Care Centre ◽  
Post Traumatic

Post-traumatic movement disorders in survivors of severe head injury

Neurology ◽  
1996 ◽  
Vol 47 (6) ◽  
pp. 1488-1492 ◽  
Author(s):  
J. K. Krauss ◽  
R. Trankle ◽  
K.-H. Kopp
Keyword(s):  
Head Injury ◽  
Movement Disorders ◽  
Severe Head Injury ◽  
Post Traumatic

scholarly journals Post-traumatic headache

2009 ◽  
Vol 67 (1) ◽  
pp. 43-45 ◽  
Author(s):  
Hugo André de Lima Martins ◽  
Valdenilson Ribeiro Ribas ◽  
Bianca Bastos Mazullo Martins ◽  
Renata de Melo Guerra Ribas ◽  
Marcelo Moraes Valença
Keyword(s):  
Head Injury ◽  
Migraine Without Aura ◽  
International Headache Society ◽  
Tension Type Headache ◽  
Time Interval ◽  
Mild Head Injury ◽  
Ihs Classification ◽  
Ihs Criteria ◽  
Post Traumatic ◽  
Type Headache

The onset of post-traumatic headache (PTC) occurs in the first seven days after trauma, according to the International Headache Society (IHS) classification. The objective of this study was to evaluate the several forms of headache that appear after mild head injury (HI) and time interval between the HI and the onset of pain. We evaluated 41 patients with diagnosis of mild HI following the IHS criteria. Migraine without aura and the chronic tension-type headache were the most prevalent groups, occurring in 16 (39%) and 14 (34.1%) patients respectively. The time interval between HI and the onset of headache was less than seven days in 20 patients (48.7%) and longer than 30 days in 10 (24.3%) patients. The results suggest that PTC may arise after a period longer than is accepted at the present by the IHS.

scholarly journals Study of outcome of patients sustaining depressed skull fracture following blunt head trauma

2018 ◽  
Vol 14 (2) ◽  
pp. 81-84
Author(s):  
Bidur KC ◽  
Bikram Shakya ◽  
Amit Thapa
Keyword(s):  
Head Injury ◽  
Head Trauma ◽  
Skull Fracture ◽  
Simple Type ◽  
Mild Head Injury ◽  
Focal Neurological Deficit ◽  
Wound Debridement ◽  
Depressed Skull Fracture ◽  
Blunt Head Trauma ◽  
Compound Type

ABSTRACTBackground: One of the common neurosurgical conditions is depressed skull fracture. It could be simple or compound type. This study aims to assess the outcome of the patients with depressed skull fracture.Material and Methods: Retrospective cohort study of the patients admitted with depressed skull fracture after sustaining blunt head trauma was done. Data were collected with regard to age, sex, mode of injury, time delay, Glasgow coma scale (GCS), epilepsy, focal neurological deficit, CT scan findings, treatment given, infection and Glasgow outcome scale (GOS). Results: Total of 50 patients were included, of which 68% were male and 32% were female with mean age of 21.02 ± 18.78 years. Fall was the commonest mode of injury constituting 60% of patients, 80% of the patients presented within 12 hours of injury and 86% of them sustained mild head injury. Fracture was of compound type in 56% and simple type in 44%. Wound debridement and suturing was performed in 26% and Craniotomy and elevation was done in 42%. Dural tear was observed in 47% who were operated. Early epilepsy was seen in 4% and late epilepsy in 2% and infection rate of 2%. Outcome was Favorable in 98% patients. Significant correlation noted between admission GCS with GOS (p=0.006) whereas no correlation was seen between time of presentation with infection (p=0.09).Conclusion: Mild head injury was the commonest form of presentation. Most of the patients have unfavorable outcome and with low risk of infection and epilepsy. Good admission GCS correlated with favorable outcome.Keywords: blunt head trauma; depressed skull fracture; epilepsy; infection; outcome.

Sign in / Sign up

Export Citation Format

Share Document