scholarly journals Blunt Right ICA Biffle Grade IV Injury in a Case of Polytrauma: Successfully Managed by Decompressive Craniectomy.

2017 ◽  
Vol 8 (1) ◽  
pp. 76-78
Author(s):  
Dewan Shamsul Asif ◽  
Sharif Mohammad Ridwan ◽  
AM Rejaus Satter ◽  
Samson SK
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Daily Practice ◽  
Rational Approach ◽  
Blunt Cerebrovascular Injury ◽  
Medical College ◽  
Cerebrovascular Injury ◽  
Choice Of Treatment ◽  
Ct Brain ◽  
Clinical Conditions

Traumatic brain injury (TBI) is common in our country. In our daily practice we are successfully managing TBI. But in some cases patient clinical conditions do not correlate with neuroimaging specially CT scan of brain. These injuries are generally missed due to lack of awareness, paucity of findings in the initial CT brain, and in some cases due to delayed clinical manifestation. For more effective and appropriate management especially blunt cerebrovascular injury we are reporting this. Moreover in RTA poly trauma make our choice of treatment more difficult but rational approach can safe a patient as did in our case.Anwer Khan Modern Medical College Journal Vol. 8, No. 1: Jan 2017, P 76-78

The Usefulness of CT Brain Perfusion Image on Evaluation of Traumatic Brain Injury

2010 ◽  
Vol 6 (1) ◽  
pp. 6 ◽  
Author(s):  
Ji Woong Oh ◽  
Hyen Ho Jung ◽  
Jhin Soo Pyen ◽  
Chul Hu ◽  
Kum Whang ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Brain Perfusion ◽  
Perfusion Image ◽  
Ct Brain

An Overview of the Attention Improvement Management (AIM) Program With Outcomes for Three Pilot Participants

2012 ◽  
Vol 22 (3) ◽  
pp. 90-105 ◽  
Author(s):  
Jaime Lee ◽  
Beth Harn ◽  
McKay Moore Sohlberg ◽  
Shari L. Wade
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Brain Injuries ◽  
Strategy Instruction ◽  
Daily Practice ◽  
Evidence Base ◽  
Outcome Data ◽  
Social Settings ◽  
Program Components ◽  
Pediatric Tbi

Direct attention training (DAT) and metacognitive strategy instruction have been employed to treat the cognitive deficits associated with traumatic brain injury (TBI) in children and are supported by an emerging evidence base (e.g., Butler et al., 2008; Galbiati et al., 2009; Luton, Reed-Knight, Loiselle, O’Toole, & Blount, 2011; van’t Hooft et al., 2007). The importance of treatment intensity is well established for DAT (Sohlberg et al., 2003), yet restrictions in the delivery and funding of rehabilitation services, the availability of well-trained interventionists, and access by geographic locale remain critical barriers to the provision of intensive services. Computer-delivered treatments that incorporate a home practice component address the gulf between the intensive, daily practice suggested by the efficacy research and these clinical delivery constraints. The purpose of this paper is to (a) review the literature evaluating the integration of DAT and metacognitive facilitation to treat children and adolescents with traumatic brain injury (TBI); (b) present the rationale and description of a computerized program, Attention Improvement Management (AIM); (c) detail the program components; and (d) present outcome data from three pilot participants who completed the intervention. A specific and growing subset of children with TBI have attention impairments following mild brain injuries or concussions (Schatz & Scolaro Moser, 2011) and served as the pilot participants in this study. Pilot participants demonstrated clinically meaningful improvements on attention outcome measures and generalization of the metacognitive strategies trained within the program to contexts outside of therapy, including both academic and social settings. Though initial results are promising, further research is needed to evaluate the efficacy of the AIM intervention to treat the attention and executive function impairments associated with pediatric TBI.

Prognostic Factors after Acute Subdural Hematoma

2021 ◽  
Vol 15 (11) ◽  
pp. 2979-2981
Author(s):  
Ali Akbar ◽  
Safdar Hussain Arain ◽  
Mumtaz Ali Narejo ◽  
Najmus Saqib Ansari
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Subdural Hematoma ◽  
Acute Subdural Hematoma ◽  
Midline Shift ◽  
College Hospital ◽  
Medical College ◽  
Significant Difference ◽  
The Mean ◽  
Computed Topography

Background: Acute subdural hematoma is a lesion caused by traumatic brain injury. Computed topography, hematoma thickness and midline shift analysis are important factors in evaluating its prognosis. Aim: To evaluate the factors involved in prognosis of acute subdural hematoma. Study design: Retrospective study Place and duration of study: Department of Neurosurgery, Chandka Medical College Hospital, Larkana from 1st October 2020 to 30the June 2021. Methodology: One hundred patients from both genders and between age 18-55 years were enrolled. Clinical examination and radiological complete examination was done in each patient. Zumkeller Index (ZI) was calculated and Glasgow scoring was performed. Results: The mean age were 44.1±15.8 years with 87% males having major reasoning of head injury as a motor cycle accident. Traumatic brain injury was recorded as >3mm ZI in 10 cases. The mean midline shift was 12.4±6.06 mm with a significant difference between three categories. Conclusion: Midline shift and hematoma thickness are useful predictors of prognosis related to acute subdural hematoma. Keywords: Prognostic factor, Acute subdural hematoma, Computed tomography (CT)

scholarly journals Decompressive craniectomy in severe traumatic brain injury - a study of 20 cases

2014 ◽  
Vol 43 (2) ◽  
pp. 100-102
Author(s):  
Sukriti Das ◽  
Md Jahangir Alam ◽  
KM Tarikul Islam ◽  
Fazle Elahi ◽  
Ehsan Mahmud
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Decompressive Craniectomy ◽  
Severe Traumatic Brain Injury ◽  
Operative Management ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Included Patient ◽  
Gcs Score

Severe traumatic brain injury is common in all developing countries like Bangladesh. These patients are commonly managed conservatively in the most of the hospitals of our country where immediate surgical intervention and perioperative ICU facilities are not available.This cross sectional interventional study was aimed at evaluating and comparing the post operative surgical outcome of decompressive craniectomy in patients with severe traumatic brain injury (TBI) with conservatively treated patients.This study was done in Dhaka Medical College Hospital from January 2010 to December 2012. Twenty clinically suspected patients who sustained severe head injury with a GCS of 3-8 with neurological deterioration and evidence of brain contusion, laceration or evidence of brain swelling on CT Scan were included. Patient with primary fatal brain stem injury, an initial and persisting GCS score of 3, or bilaterally dilated and fixed pupil are not candidate for operative management. Outcome was assessed by Glasgow outcome scale (GOS). Follow up was given for a period of six to twelve months. DOI: http://dx.doi.org/10.3329/bmj.v43i2.21392 Bangladesh Med J. 2014 May; 43 (2): 100-102

scholarly journals A study of prognostic score for predicting the outcome in cases of traumatic brain injury

2020 ◽  
Vol 7 (4) ◽  
pp. 1218
Author(s):  
Sudhir Singh Pal ◽  
Ashay Rathore
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Prognostic Score ◽  
Medical College ◽  
New Methods ◽  
Observational Prospective Cohort Study ◽  
The Mean ◽  
Gandhi Medical College ◽  
The Impact ◽  
Pro Forma

Background: Glasgow coma scale (GCS) and the Glasgow outcome scale help us with confident predictions after 24 h following the injury, but not on admission. The IMPACT and CRASH studies provided new methods for performing prognostic studies of traumatic brain injury. And this prognostic scoring system has been studied in our study.Methods: This is an observational prospective cohort study performed at the department of surgery, Gandhi medical college and Hamidia hospital, Bhopal on 87 patients during a period of 2 years. A preformed pro-forma was filled for each patient after 6 hours of resuscitation which included all the details of the patients like name, age, sex, CR no., and GCS after resuscitation, mode of injury, the clinical evaluation score used by IMPACT trial and neurological finding, management details, CT scan was done as soon as possible for all patients and findings were included in the pro-forma. The final outcome was recorded at the time of discharge.Results: Among Patients with mean total prognostic score of 0-4, 97% patients discharged without deficit, 3% discharged with deficit with no mortality. Among score of 15-20, only 7 % can be discharged without deficit and 7% could be discharged without deficit, while 86 % patient died.Conclusions: The mean total prognostic score of discharged groups was significantly lower than the patients in discharged group. We concluded that this prognostic model helps us to individually identify patients who will succumb to death and early need for surgical intervention.

scholarly journals OUTCOME OF THE UNIDENTIFIED/UNACCOMPANIED PATIENT OF TRAUMATIC BRAIN INJURY IN TRAUMA UNIT OF GANDHI MEDICAL COLLEGE AND ASSOCIATED HAMIDIA HOSPITAL BHOPAL (INDIA)

2019 ◽  
Vol 3 (11) ◽  
Author(s):  
Dr. I. D. Chaurasia ◽  
Dr. Shikha Shukla ◽  
Dr. Aryish Gupta ◽  
Dr. Rajat Maheshwari ◽  
Dr. Mahim Koshariya ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Hospital Stay ◽  
Decompressive Craniectomy ◽  
Neurological Status ◽  
Age Group ◽  
Common Cause ◽  
Medical College ◽  
Trauma Unit ◽  
Gandhi Medical College

All unidentified / unaccompanied & unknown TBI patients admitted in department of neurosurgery, Gandhi Medical College Bhopal from June 2016 to May 2019 were enrolled in this study. Management of unidentified and unaccompanied patients is difficult in any health care setup due to challenges in managing their day to day care. Traumatic brain injury is the most common cause of death in trauma patients.  We analyzed demography, mode of injury, clinical presentation & condition at admission, treatment given, hospital stay, outcome & factors affecting outcome of the patients. Very few studies in world literature are available on this subgroup of patients. We analyzed data pertaining to 100 consecutive patients at our hospital. Aim and Objectives: The aim and objective of this study is to determine the outcome of traumatic Brain Injury in patients who were admitted in trauma unit/ Neurosurgery unit of Gandhi medical College Bhopal India from June 2016 to May 2019. As unaccompanied / unknown/ unidentified. In this study we collected the data of unknown/ unidentified patients of TBI to analyze the outcome. Material and Methods: It was a prospective study of all unaccompanied/ unknown patients who were admitted in the trauma unit/ Neurosurgery unit of surgery department of Gandhi Medical College & Associated Hamidia Hospital Bhopal India from June 2016 to May 2019 a total number of 100 unidentified /unaccompanied patients were admitted whose data were collected and analyzed Departmental staff, social workers, police and media persons help were take in for relocation of unknown patients to their home or non government organization shelter homes . Results: There were total 100 consecutive patient enrolment in this study, 87% of the patients were male. Most common age group was 40-59 years, 48% patients falls in this age group. Most common cause of trauma was road traffic accident (48%), followed by Cause Unknown (36%). Overall mortality was 39%. Others clinical characteristic and type of lesion in traumatic brain injury of unidentified and unaccompanied patients is given in detail in. Out of 100 patients, 43 (43%) patients were managed conservatively based on CT head findings and neurological status & 57 (57%) were operated. Decompressive Craniectomy was most common operative procedure depending on the clinical & neurological status. Overall complication rate during hospital stay was 26%. Keywords: TBI, Unidentified Patient & Unaccompanied & Decompressive Craniectomy, Rehabilitation.

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