scholarly journals Post-Traumatic Hydrocephalus - A Retrospective Study

2021 ◽  
Vol 10 (40) ◽  
pp. 3511-3514
Author(s):  
Srinivas R. ◽  
Davuluri Venkata Shashank ◽  
Mohamed Mohamed
Keyword(s):  
Retrospective Study ◽  
Head Injury ◽  
Tertiary Care ◽  
Traumatic Head Injury ◽  
Medical College ◽  
Traumatic Head ◽  
Post Traumatic ◽  
Trauma Ct ◽  
Gcs Score ◽  
Early Diagnose

BACKGROUND Post-traumatic hydrocephalus (PTH) can occur as an outcome of moderate and severe traumatic head injury. It is one of the causes of delayed worsening of the early symptoms of head injury. A total of 18 cases of PTH diagnosed and treated at tertiary care hospitals from 2012 to 2015 were studied. The purpose of the study was to evaluate the clinicoradiological profile of patients diagnosed with posttraumatic hydrocephalus and determine the outcome of ventriculoperitoneal (VP) shunting in cases of post-traumatic hydrocephalus. METHODS A retrospective study was conducted in the Department of Neurosurgery in a teaching medical college. The clinicoradiological profile of patients diagnosed with PTH was studied. These cases were treated conservatively as well as by surgery. The demography, cause of trauma, GCS score and response rates were studied. RESULTS Among the 18 reviewed patients, 61.1 % were males, fall and RTA constituted the major cause of trauma. Craniotomy was done in 50 % of the patients, 88.89 % of the patients recovered and the mortality rate was 11.11 %. CONCLUSIONS Post-traumatic hydrocephalus is a consequence of traumatic head injury and can occur with various neurological symptoms after the initial trauma. CT scan of the brain is considered the choice of investigation to early diagnose PTH and the patient outcome after VP shunting is good. KEY WORDS Hydrocephalus, Head Injury, Trauma

scholarly journals Assessing the effectiveness of the full outline of unresponsiveness scale and the Glasgow coma scale in patients of traumatic head injury

2021 ◽  
Vol 8 (12) ◽  
pp. 3583
Author(s):  
Fahad Ansari ◽  
Arvind Rai
Keyword(s):  
Head Injury ◽  
Glasgow Coma Scale ◽  
Youden Index ◽  
Traumatic Head Injury ◽  
Coma Scale ◽  
Medical College ◽  
Traumatic Head ◽  
Four Score ◽  
Gandhi Medical College ◽  
Gcs Score

Background: The Glasgow coma scale (GCS) is the most commonly used scale while the full outline of unresponsiveness (FOUR) score is a new validated coma scale in the evaluation of the level of consciousness in head injury patients. The aim of the study was to compare and assess the effectiveness of the FOUR score and the GCS in patients of traumatic head injury.Methods: This was a prospective observational study conducted in the department of surgery, Gandhi medical college, Bhopal during a 2 year period in which 100 patients of traumatic head injury were evaluated. The FOUR score and GCS score of these patients were assessed on admission and outcome followed for 2 weeks.Results: The mean age group of 100 patients was 25-45 years with 79% male and 21% female patients. The FOUR scale was found to have a marginally higher sensitivity of 65.6% while the GCS had a sensitivity of 64.2%. The FOUR scale however had a higher specificity of 71.5% compared to 66.4% of GCS. The Youden index showed that FOUR scale (46%) has a better prediction for death than GCS (35%). FOUR had a higher accuracy of 75% than GCS with an accuracy of 65%.Conclusions: Both FOUR score and GCS are valuable scales in assessment of traumatic head injury. The FOUR scale however is more accurate than the GCS in predicting outcome of head injury patients. 

scholarly journals Treatment of Persistent Post-traumatic Headache With the anti-CGRP Receptor Antibody Erenumab: a Case Report

2021 ◽  
Author(s):  
Mike Christian Papenhoff ◽  
Marcel Dudda
Keyword(s):  
Head Injury ◽  
Traumatic Event ◽  
Cgrp Receptor ◽  
Effective Treatment Option ◽  
Traumatic Head Injury ◽  
Posttraumatic Headache ◽  
History Of ◽  
Traumatic Head ◽  
Post Traumatic ◽  
Excessive Intake

Abstract Background: Calcitonin gene-related peptide (CGRP) has only recently emerged as a potential target in posttraumatic headache. To our knowledge this is the first description of a patient with persistent posttraumatic headache following severe traumatic head injury who has been treated with the CGRP-receptor-monoclonal antibody erenumab.Case presentation: A 56-year-old man presented with a 30-year history of frequent migraine-like posttraumatic headaches following a high-voltage head injury that he treated with an excessive intake of peripheral analgesics. Although amitriptyline was reasonably effective, it had to be discontinued when the patient developed restless legs syndrome in the second year of treatment. Under therapy with erenumab he achieved a rapid and stable reduction in his symptoms down to only 2–3 headache days per month without adverse events.Conclusions: This case demonstrates that the inhibition of the CGRP-receptor with erenumab could be an effective treatment option in migraine-like post-traumatic headache even decades after the traumatic event.

scholarly journals Outcome of cerebral contusion in mild traumatic head injury patients

2019 ◽  
Vol 6 (11) ◽  
pp. 4032
Author(s):  
Jagadish B. Hedawoo ◽  
Maheshkumar S. Soni
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Traumatic Head Injury ◽  
Cerebral Contusion ◽  
Mild Tbi ◽  
Tertiary Centre ◽  
Traumatic Head ◽  
Ct Brain ◽  
Gcs Score

Background: Mild traumatic head injury is classified as one with Glasgow coma scale (GCS) score between 13 and 15. The aim of the study was to find underlying cause of deterioration of mild traumatic brain injury (TBI) and its association with other factors like bony injury.Methods: A prospective observational study at a tertiary centre with patients admitted for mild TBI with GCS 13-15 were followed up in ward and reviewed after every 6 hours interval, those who deteriorated repeat computed tomography (CT) scan was done for further diagnosis and intervention.Results: Determining the level of deterioration after 24 hours observation following mild TBI, 268 (63.4%) of the admitted patients were discharged home after 24 hours of observation, 89 (20.7%) needed more observation while 63 (14.8%) deteriorated and 3 (0.7%) died. As the GCS on admission was decreasing; deterioration increased i.e., 12.7%, 16.7% and 33.3% for GCS of 15, 14 and 13 respectively. Likewise, as the GCS increased, recovery improved. Subdural haematoma (39.7%) was the leading cause of deterioration while (13.8%) despite their deterioration, CT brain did not reveal any abnormality.Conclusions: Patients presenting with mild TBI (i.e., GCS- 13-15) secondary to high velocity/energy trauma i.e., road traffic accidents have to be carefully observed for at least 24-48 hours post-trauma as the chances for neurological deterioration are significant especially in polytrauma patients. The most cause for deterioration is subdural haemorrhage among others, has to be investigated so appropriate management for the same can be instituted as soon as possible. 

Diabetes inspidus post traumatic head injury

2014 ◽  
Author(s):  
Gideon Mlawa ◽  
Eswari Chinnasamy ◽  
Darshi Sivakumaran ◽  
Gul Bano
Keyword(s):  
Head Injury ◽  
Traumatic Head Injury ◽  
Traumatic Head ◽  
Post Traumatic

scholarly journals l-11. Statistic Survey on Post-traumatic Head Injury

1968 ◽  
Vol 10 ◽  
pp. 238-239
Author(s):  
Norio KOBAYASHI ◽  
Keizo SAKAMOTO ◽  
Chikara KASHIMOTO ◽  
Takao MITSUNO
Keyword(s):  
Head Injury ◽  
Traumatic Head Injury ◽  
Traumatic Head ◽  
Post Traumatic

scholarly journals The patterns of maxillofacial fractures in traumatic head injury patients in Songklanagarind hospital: a retrospective study.

2020 ◽  
Author(s):  
Orawan Chansanti ◽  
Yaninee Anusitviwat ◽  
Atthawit Mongkornwong
Keyword(s):  
Retrospective Study ◽  
Head Injury ◽  
Coronoid Process ◽  
Type Ii ◽  
Fracture Type ◽  
Traumatic Head Injury ◽  
Le Fort ◽  
Maxillofacial Fracture ◽  
Maxillofacial Fractures ◽  
Traumatic Head

Abstract Background: Maxillofacial injury was usually found in low to middle countries moreover it commonly associated with brain injury, the major etiological factors are traffic collision, violence, and fall from hight. The incidence and etiology was important to developed treatment moreover to improve patient care in the future. The aim of this study was to analyze the incidence of the pattern of maxillofacial fracture in a patient with a traumatic head injury and to measure the incidence of the cause of injury, age, and gender distribution Methods: This is a retrospective study in Songhklanagarind hospital. We evaluate all patients who presented with a concomitant maxillofacial and traumatic head injury in Songklanagarind hospital between 2007 and 2016. Results: 859 patients consisting of 73.3% male and 22.7% female. The mean age was 39.5 years.The severity of the traumatic head injury was mild traumatic head injury 70.15%. Moreover the alcohol consumption was significantly related to a mild and severe traumatic head injury (P < 0.05). The most frequent was maxilla bone. 33.9% of patients were undergone the operation. Conclusion: In this retrospective study, the maxilla bone fracture was the most frequent site involved. The patients with mild traumatic head injury are related to the coronoid process of mandible, Le Fort fracture type II and type III, moderate traumatic head injury is only related to the coronoid process of mandible and severe traumatic head injury are related to Le Fort fracture type II and III. Keyword: traumatic head injury, maxillofacial fracture

scholarly journals Treatment of Persistent Post-Traumatic Headache with the Anti-CGRP Receptor Antibody Erenumab: A Case Report

2021 ◽  
Author(s):  
Mike Papenhoff ◽  
Marcel Dudda
Keyword(s):  
Head Injury ◽  
Traumatic Event ◽  
Cgrp Receptor ◽  
Effective Treatment Option ◽  
Traumatic Head Injury ◽  
Posttraumatic Headache ◽  
History Of ◽  
Traumatic Head ◽  
Post Traumatic ◽  
Excessive Intake

Abstract Introduction: Calcitonin gene-related peptide (CGRP) has only recently emerged as a potential target in posttraumatic headache. To our knowledge this is the first description of a patient with persistent posttraumatic headache following severe traumatic head injury who has been treated with the CGRP-receptor-monoclonal antibody erenumab.Case presentation: A 56-year-old man presented with a 30-year history of frequent migraine-like posttraumatic headaches following a high-voltage head injury that he treated with an excessive intake of peripheral analgesics. Although amitriptyline was reasonably effective, it had to be discontinued when the patient developed restless legs syndrome in the second year of treatment. Under therapy with erenumab he achieved a rapid and stable reduction in his symptoms down to only 2–3 headache days per month without adverse events.Conclusions: This case demonstrates that the inhibition of the CGRP-receptor with erenumab could be an effective treatment option in migraine-like post-traumatic headache even decades after the traumatic event.

Post-Traumatic Short-Lasting Unilateral Headache With Cranial Autonomic Symptoms (SUNA)

Cephalalgia ◽  
2008 ◽  
Vol 28 (9) ◽  
pp. 991-993 ◽  
Author(s):  
S Jacob ◽  
AR Saha ◽  
YA Rajabally
Keyword(s):  
Head Injury ◽  
International Headache Society ◽  
Trigeminal Autonomic Cephalalgias ◽  
Conjunctival Injection ◽  
Traumatic Head Injury ◽  
Autonomic Symptoms ◽  
Cranial Autonomic Symptoms ◽  
Unilateral Headache ◽  
Traumatic Head ◽  
Post Traumatic

Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) syndrome is a rare headache syndrome classified among the trigeminal autonomic cephalalgias. It is usually idiopathic, although infrequent secondary forms have been described. Recently the term short-lasting unilateral headache with cranial autonomic symptoms (SUNA) has been defined by the International Headache Society (ICHD-2) as similar to SUNCT with less prominent or absent conjunctival injection and lacrimation. We report two patients with paroxysmal orbito-fronto-temporal pains, phenotypically suggesting SUNA, occurring after traumatic head injury.

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