scholarly journals Minor Head Injury Symptoms and Recovery From Whiplash Injury: A 1-Year Prospective Study

2019 ◽  
Vol 8 ◽  
pp. 117957271984563
Author(s):  
Helge Kasch ◽  
Luana Leonora Jensen
Keyword(s):  
Head Injury ◽  
Neck Pain ◽  
Prospective Study ◽  
Work Disability ◽  
Characteristic Curve ◽  
University Hospital ◽  
Predictive Test ◽  
Post Injury ◽  
Direct Head ◽  
Global Pain

Aim: To examine concussion-related disability in neck injuries, the Rivermead Head Injury Follow-Up Questionnaire (RHFUQ) was applied. Furthermore, we wanted to investigate symptoms found in post-concussion syndrome (PCS) and global pain, neck pain intensities obtained from acute whiplash patients within 1 week and at 6 months after injury in a prospective study on 1-year work disability. Methods: A total of 143 consecutive acute whiplash-injured patients were admitted to the study from the Emergency Unit (Aarhus University Hospital). Patients with direct head trauma or reported retro- or anterograde amnesia were excluded from the study. Average neck pain and global pain intensity were measured on a Visual Analogue Scale (VAS 0-10). The RHFUQ (10 items, score from 0 to 4, total score from 0 to 40) was fulfilled after 1 week and 6 months. Patients underwent neurological examination within 1 week after injury. Recovery (return to work) was assessed 1 year post-injury. Results: In total, 97% completed the study, and 9% (12/138) did not recover. Non-recovered patients reported more neck pain and global pain after 1 week ( P < .003) and 6 months ( P < .008) and higher PCS symptom score after 1 week ( P < .001) and 6 months ( P < .002). Using the RHFUQ total score as a predictive test, a receiver-operating characteristic curve (ROC) area of 0.77 (0.61-0.92) and a cut-off at 10 points revealed a sensitivity of 75% and a specificity of 67.2%. At 1 week, 8 of 10 items reached higher scores among non-recovered and 10 of 10 items after 6 months post-injury. Conclusions: RHFUQ is useful in acute whiplash patients for predicting 1-year work disability. PCS-related symptoms along with neck pain and global pain are more burdensome in the non-recovered group. This emphasizes that post-concussion symptoms are not a sign of brain injury alone, but are found in other types of mishaps like whiplash injuries.

The role of blood inflammatory markers in the diagnosis of appendicitis in children: a prospective study from a University Hospital in Greece

2020 ◽  
Vol 178 (11) ◽  
Author(s):  
George Sakellaris ◽  
Dimitra Dimopoulou ◽  
Maria Niniraki ◽  
Anastasia Dimopoulou ◽  
Athanasios Alegakis ◽  
...  
Keyword(s):  
Prospective Study ◽  
Inflammatory Markers ◽  
University Hospital ◽  
A Prospective Study

scholarly journals Risk factors of chronic neck pain: A prospective study among middle-aged employees

2011 ◽  
Vol 16 (6) ◽  
pp. 911-920 ◽  
Author(s):  
S. Kääriä ◽  
M. Laaksonen ◽  
O. Rahkonen ◽  
E. Lahelma ◽  
P. Leino-Arjas
Keyword(s):  
Risk Factors ◽  
Neck Pain ◽  
Prospective Study ◽  
Chronic Neck Pain ◽  
Middle Aged ◽  
A Prospective Study

scholarly journals Serum Concentration of Myelin Basic Protein as a Prognostic Marker in Mild-to-moderate Head Injury Patients: A Prospective Study in a Tertiary Care Center

2021 ◽  
Author(s):  
Ashvamedh Singh ◽  
Kulwant Singh ◽  
Anurag Sahu ◽  
R. S. Prasad ◽  
N. Pandey ◽  
...  
Keyword(s):  
Head Injury ◽  
Prospective Study ◽  
Myelin Basic Protein ◽  
Prognostic Marker ◽  
Outcome Prediction ◽  
Basic Protein ◽  
Care Center ◽  
Tertiary Care ◽  
Gcs Score ◽  
A Prospective Study

Abstract Objective To estimate the level of myelin basic protein (MBP) and look for its validity in outcome prediction among mild-to-moderate head injury patients. Materials and Methods It was a prospective study done at the Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University from Jan 2018 to July 2019. All patients who presented to us within 48 hours of injury with mild-to-moderate head injury with apparently normal CT brain were include in the study. The serum sample were collected on the day of admission and 48 hours later, and patients were treated with standard protocols and observed 6 months postdischarge. Results Of the 32 patients enrolled, we observed mean MBP level was higher for severity of brain damage, but not associated with age, mode of injury, and radiological diagnosis. Mean MBP levels were not statistically associated with Glasgow coma scale (GCS) score at admission but was correlated to outcome with p < 0.05, with sensitivity of 50% and specificity 72%, that is, patients with good outcome have lower mean MBP levels. Conclusion MBP as per our analysis can be used as a prognostic marker in patients with head injury. It is not the absolute value rather a trend showing rise in serum MBP levels, which carries a significant value in outcome prediction.

scholarly journals Fungal rhinosinusitis: A prospective study in a University hospital of Uttar Pradesh

2013 ◽  
Vol 31 (3) ◽  
pp. 266 ◽  
Author(s):  
G Banerjee ◽  
P Gupta ◽  
M Singh ◽  
MM Goel ◽  
V Verma ◽  
...  
Keyword(s):  
Prospective Study ◽  
Uttar Pradesh ◽  
University Hospital ◽  
Fungal Rhinosinusitis ◽  
A Prospective Study

Comparison of Bone-Conducted Vibration for Eliciting Ocular Vestibular-Evoked Myogenic Potentials

2011 ◽  
Vol 146 (2) ◽  
pp. 289-294 ◽  
Author(s):  
Chia-Chen Tseng ◽  
Shou-Jen Wang ◽  
Yi-Ho Young
Keyword(s):  
Prospective Study ◽  
Study Design ◽  
Healthy Subjects ◽  
University Hospital ◽  
Vestibular Evoked Myogenic Potentials ◽  
Ménière’S Disease ◽  
Asymmetry Ratio ◽  
Significant Difference ◽  
The Asymmetry ◽  
The Right

Objective. This study compared bone-conducted vibration (BCV) stimuli at forehead (Fz) and mastoid sites for eliciting ocular vestibular-evoked myogenic potentials (oVEMPs). Study Design. Prospective study. Setting. University hospital. Methods. Twenty healthy subjects underwent oVEMP testing via BCV stimuli at Fz and mastoid sites. Another 50 patients with unilateral Meniere’s disease also underwent oVEMP testing. Results. All healthy subjects showed clear oVEMPs via BCV stimulation regardless of the tapping sites. The right oVEMPs stimulated by tapping at the right mastoid had earlier nI and pI latencies and a larger nI-pI amplitude compared with those stimulated by tapping at the Fz and left mastoid. Similar trends were also observed in left oVEMPs. However, the asymmetry ratio did not differ significantly between the ipsilateral mastoid and Fz sites. Clinically, tapping at the Fz revealed absent oVEMPs in 28% of Meniere’s ears, which decreased to 16% when tapping at the ipsilesional (hydropic) mastoid site, exhibiting a significant difference. Conclusion. Tapping at the ipsilateral mastoid site elicits earlier oVEMP latencies and larger oVEMP amplitudes when compared with tapping at the Fz site. Thus, tapping at the Fz site is suggested to screen for the otolithic function, whereas tapping at the ipsilesional mastoid site is suitable for evaluating residual otolithic function.

Jefferson fractures of the immature spine

2009 ◽  
Vol 3 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Nicholas AuYong ◽  
Joseph Piatt
Keyword(s):  
Cervical Spine ◽  
Head Injury ◽  
Young Children ◽  
Diagnostic Imaging ◽  
Neck Pain ◽  
Muscle Spasm ◽  
Spinal Trauma ◽  
Posterior Arch ◽  
Jefferson Fracture ◽  
Immature Spine

Jefferson fractures of the immature spine have received little attention in the study of pediatric spinal trauma. Fractures through synchondroses are a possibility in the immature spine, in addition to fractures through osseous portions of the vertebral ring, and they create opportunities for misinterpretation of diagnostic imaging. The authors describe 3 examples of Jefferson fractures in young children. All 3 cases featured fractures through an anterior synchondrosis in association with persistence of the posterior synchondrosis or a fracture of the posterior arch. The possibility of a Jefferson fracture should be considered for any child presenting with neck pain, cervical muscle spasm, or torticollis following a head injury, despite a seemingly normal cervical spine study. Jefferson fractures in young children are probably much more common than previously recognized.

scholarly journals Motorcycle Related Injuries among Rural Dwellers in Irrua, Nigeria: Characteristics and Correlates

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
A. E. Dongo ◽  
E. B. Kesieme ◽  
A. Eighemherio ◽  
O. Nwokike ◽  
E. Esezobor ◽  
...  
Keyword(s):  
Head Injury ◽  
Prospective Study ◽  
Road Traffic ◽  
Preventive Strategy ◽  
Extremity Injury ◽  
Commercial Use ◽  
One Year ◽  
Motorcycle Injuries ◽  
Rural Dwellers ◽  
Crash Helmet

Background. The escalating use of motorcycle for commercial transportation of commuters and goods has resulted in an increase in morbidity and mortality from road traffic injuries.Objectives. To study the characteristics of motorcycle injuries seen in Irrua, Nigeria.Materials and Methods. This is a one-year prospective study of all patients seen from January 1, 2009, to December 31, 2009. A structured proforma was filled for all consecutive crash victims involving a motorcycle.Results. Motorcycle injuries accounted for 11.6% of attendance in surgical emergency room (142 out of 1,214); 76.8% were males. Amongst victims 47.1% were riders, 42.9%, passengers, and 7.8% pedestrians. Extremity injury accounted for 42.2% while head injury occurred in 21.8%. There were 9 deaths (6.3%). In this study no victim used crash helmet.Conclusion. Banning of motorcycle for commercial use and the introduction of tricycles into rural/suburban comminutes may be an important preventive strategy.

Sign in / Sign up

Export Citation Format

Share Document