scholarly journals Relationship between the Bispectral Index, the Glasgow Coma Scale and the Intracranial Pressure in patients with severe brain injury

2016 ◽  
Author(s):  
Hoon Kang
Keyword(s):  
Brain Injury ◽  
Intracranial Pressure ◽  
Glasgow Coma Scale ◽  
Bispectral Index ◽  
Severe Brain Injury ◽  
Coma Scale

scholarly journals KORELASI DIAMETER SELUBUNG NERVUS OPTIK DAN MARSHALL CT SCORE DENGAN SKALA KOMA GLASGOW PADA CEDERA KEPALA

2020 ◽  
Vol 35 (3) ◽  
Author(s):  
Rani Maria Yogipranata ◽  
Hermina Sukmani
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Optic Nerve ◽  
Intracranial Pressure ◽  
Glasgow Coma Scale ◽  
Ct Scan ◽  
Optic Nerve Sheath Diameter ◽  
Optic Nerve Sheath ◽  
Coma Scale ◽  
Nerve Sheath

CORRELATION BETWEEN OPTIC NERVE SHEATH DIAMETER AND MARSHALL CT SCORE WITH GLASGOW COMA SCALE IN TRAUMATIC BRAIN INJURYABSTRACTIntroduction: In traumatic brain injury (TBI), non-contrast brain CT scan is able to detect an increase in intracranial pressure, which is crucial in patient’s management. Optic nerve sheath diameter’s (ONSD) measurement is a new method that is expected to assess an increase in intracranial pressure noninvasively. Marshall CT score is a valid instrument, a de facto standard to classify head injury patient which correlates with an increased intracranial pressure.Aims: To see the correlation between ONSD and Marshall CT score with Glasgow Coma Scale (GCS).Methods: This was a retrospective, analytic observational with cross-sectional research’s design taken from the patients’ medical record admitted in Dr. Kariadi Hospital, Semarang, between March-August 2017. Measurement of ONSD and Marshall CT score were done by a radiologist. Rank Spearman’s were used to assess the correlation between variables.Results: There were 34 subjects, the majority were man (67,6%), with highest incidents in less than 30 years age (41,2%) and mostly caused by accident  (76,4%). Statistical analysis showed a moderate negative degree correlation between ONSD and Marshall CT score with GCS.Discussion: Enlargement of ONSD and higher Marshall CT score were correlated negatively related with the GCSin TBI patients with increased intracranial pressure.Keywords: Glasgow Coma Scale, Marshall CT score, optic nerve sheath diameter’s, traumatic brain injuryABSTRAK Pendahuluan: Pada cedera kepala atau traumatic brain injury (TBI), penggunaan CT scan kepala tanpa kontras dapat mendeteksi tanda-tanda peningkatan tekanan intrakranial (TIK), yang penting bagi tata laksana pasien. Sementara pengukuran diameter optic nerve sheath yang disebut optic nerve sheath diameter (ONSD) merupakan metode baru yang diharapkan dapat menilai peningkatan tekanan intrakranial secara non-invasif. Marshall CT score merupakan instrumen valid dan menjadi standar de facto dalam mengklasifikasikan pasien cedera kepala yang berkorelasi dengan peningkatan TIK.Tujuan: Untuk melihat adanya korelasi antara diameter N. Optikus dan Marshall CT score dengan Skala KomaGlasgow (Glasgow Coma Scale/GCS).Metode: Penelitian analitik observasional retrospektif secara potong lintang dari data rekam medis pasien cedera kepala dewasa yang dirawat di RSUP Prof. Dr. Kariadi, Semarang, pada bulan Maret-Agustus 2017. Selanjutnya kesemua subjek dilakukan pengukuran ONSD pada kedua mata serta penilaian Marshall CT score oleh seorang spesialis radiologi. Dilakukan uji korelasi Rank Spearman’s untuk menilai ketiga parameter tersebut.Hasil: Terdapat 34 subjek yang terutama laki-laki (67,6%) dengan usia terbanyak <30 tahun (41,2%) dan penyebab terbanyak adalah kecelakaan (76,4%). Didapatkan korelasi negatif derajat sedang antara ONSD dan Marshall CT score dengan GCS.Diskusi: Peningkatan diameter optic nerve sheath dan Marshall CT score berkorelasi dengan penurunan skor GCSpada pasien cedera kepala yang mengalami peningkatan TIK.Kata kunci: Cedera kepala, diameter optic nerve sheath, Marshall CT score, Skala Koma Glasgow

Timing Fracture Repair in Patients with Severe Brain Injury (Glasgow Coma Scale Score <9)

1998 ◽  
Vol 44 (6) ◽  
pp. 977-983 ◽  
Author(s):  
Ricard N. Townsend ◽  
Thomas Lheureau ◽  
Jack Protetch ◽  
Barry Riemer ◽  
Daniel Simon
Keyword(s):  
Brain Injury ◽  
Glasgow Coma Scale ◽  
Scale Score ◽  
Glasgow Coma Scale Score ◽  
Fracture Repair ◽  
Severe Brain Injury ◽  
Coma Scale

scholarly journals Bispectral index value correlates with Glasgow Coma Scale in traumatic brain injury patients

2017 ◽  
Vol Volume 9 ◽  
pp. 43-46 ◽  
Author(s):  
Tjokorda Gde Agung Senapathi ◽  
Made Wiryana ◽  
I Gusti Ngurah Mahaalit Aribawa ◽  
Christopher Ryalino
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Glasgow Coma Scale ◽  
Bispectral Index ◽  
Coma Scale ◽  
Index Value

The Glasgow Coma Scale Pupils score: a nurse's perspective

2020 ◽  
Vol 16 (2) ◽  
pp. 89-92
Author(s):  
Catheryne Waterhouse
Keyword(s):  
Brain Injury ◽  
Glasgow Coma Scale ◽  
Scale Score ◽  
Glasgow Coma Scale Score ◽  
Clinical Information ◽  
Severe Brain Injury ◽  
Coma Scale ◽  
Good Outcome ◽  
Pupil Reactivity ◽  
Reactivity Score

The Glasgow Coma Scale Pupils (GCS–P) score is calibrated from 1 to 15 and is calculated by subtracting the patient's pupil reactivity score (PRS) from their Glasgow Coma Scale score. The additional clinical information gained from the patient's PRS (0–2) enables practitioners to access a more qualitative framework to facilitate discussion of predictive information with families regarding the patient's potential for recovery or good outcome following a severe brain injury.

scholarly journals Modulated Neuroprotection in Unresponsive Wakefulness Syndrome after Severe Traumatic Brain Injury

2021 ◽  
Vol 11 (8) ◽  
pp. 1044
Author(s):  
Cristina Daia ◽  
Cristian Scheau ◽  
Aura Spinu ◽  
Ioana Andone ◽  
Cristina Popescu ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Glasgow Coma Scale ◽  
Severe Traumatic Brain Injury ◽  
Functional Independence ◽  
Unresponsive Wakefulness Syndrome ◽  
Coma Scale ◽  
Severe Tbi ◽  
Neuroprotective Treatment ◽  
Gcs Score

Background: We aimed to assess the effects of modulated neuroprotection with intermittent administration in patients with unresponsive wakefulness syndrome (UWS) after severe traumatic brain injury (TBI). Methods: Retrospective analysis of 60 patients divided into two groups, with and without neuroprotective treatment with Actovegin, Cerebrolysin, pyritinol, L-phosphothreonine, L-glutamine, hydroxocobalamin, alpha-lipoic acid, carotene, DL-α-tocopherol, ascorbic acid, thiamine, pyridoxine, cyanocobalamin, Q 10 coenzyme, and L-carnitine alongside standard treatment. Main outcome measures: Glasgow Coma Scale (GCS) after TBI, Extended Glasgow Coma Scale (GOS E), Disability Rankin Scale (DRS), Functional Independence Measurement (FIM), and Montreal Cognitive Assessment (MOCA), all assessed at 1, 3, 6, 12, and 24 months after TBI. Results: Patients receiving neuroprotective treatment recovered more rapidly from UWS than controls (p = 0.007) passing through a state of minimal consciousness and gradually progressing until the final evaluation (p = 0.000), towards a high cognitive level MOCA = 22 ± 6 points, upper moderate disability GOS-E = 6 ± 1, DRS = 6 ± 4, and an assisted gait, FIM =101 ± 25. The improvement in cognitive and physical functioning was strongly correlated with lower UWS duration (−0.8532) and higher GCS score (0.9803). Conclusion: Modulated long-term neuroprotection may be the therapeutic key for patients to overcome UWS after severe TBI.

Identifying Posttraumatic Amnesia in Individuals With a Glasgow Coma Scale of 15 After Mild Traumatic Brain Injury

2015 ◽  
Vol 96 (5) ◽  
pp. 956-959 ◽  
Author(s):  
Susanne Meares ◽  
E. Arthur Shores ◽  
Tracy Smyth ◽  
Jennifer Batchelor ◽  
Margaret Murphy ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Glasgow Coma Scale ◽  
Mild Traumatic Brain Injury ◽  
Coma Scale ◽  
Posttraumatic Amnesia
Sign in / Sign up

Export Citation Format

Share Document