Epidemiología del traumatismo craneoencefálico en la población mayor de 65 años a lo largo de 25 años

Álvarez, Enrique Chicote; Castro, Anthony; Lasa, Mikel; Alfonso, Abel; Escudero, P.; Borregán, Juan Carlos Rodríguez; Martín, Y. Peñasco; Dierssen-Sotos, Trinidad

doi:10.1016/j.redar.2018.06.003

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…Once the results of our study are presented, we can conclude and infer the following. Regarding the distribution by genders, the male group was much higher, the largest age group was made up of those under 30 years of age, this finding agrees with that found in other studies such as that of Chicote et al 31 where the population is mainly young productive ages.…”

Section: Discussionsupporting

confidence: 91%

Sodium brain trauma Prognostic value of the sodium alterations during the first seven days in adults patients with severe brain trauma of the autonomous institute university hospital of Los Andes Merida between June 2017 - June 2018

Sarmiento

2020

Technium

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Objectives To establish the prognostic role of serum sodium alterations during the first seven days in patients diagnosed with severe brain trauma admitted to the adult emergency area of the autonomous university hospital of the Mérida Andes, from June 2017 to June 2018 Materials and Methods: Prospective, field and longitudinal sectional study. Patients older than 18 years with a diagnosis of head brain injury were selected, diabetes insipidus, inappropriate antidiuretic secretion and salt loser brain were evaluated in each patient of the sample. Results: 103 patients, 90.6% men and 9.4% women, the mean age was 25.8 years, the largest age group corresponded to those under 30 years, 79 (76.9%), accidents of Transients were the main cause of brain trauma 79 (76%), brain edema was the main tomographic finding, all tomographic findings showed statistical significance. The 3 types of neuroendocrine disorders related to sodium were presented, being diabetes insipidus the most frequent. total mortality was 22 (22.63%) patients of 103. Neurosurgical interventions were performed in 10 patients with a mortality of 8 (80%), (p <0.001). The Glasgow score in the live group was 9.7 compared to 6.3 points in the deceased subgroup (p <0.001). Conclusions: There is a higher mortality associated with sodium alterations, the greatest association corresponded to diabetes insipidus (p0,026), so it is vital to adequately manage these alterations.

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Section: Discussionsupporting

confidence: 91%

Sodium brain trauma Prognostic value of the sodium alterations during the first seven days in adults patients with severe brain trauma of the autonomous institute university hospital of Los Andes Merida between June 2017 - June 2018

Sarmiento

2020

Technium

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“…Most EDHs result from arterial bleeding from a branch of the middle meningeal artery. The anterior meningeal artery or dural arteriovenous fistula at the vertex may be involved [6,7]. Up to 10 % of EDHs are due to venous bleeding following the laceration of a dural venous sinus.…”

Section: Russian Journal Of Neurosurgerymentioning

confidence: 99%

Small epidural hematoma for surgery

Elenany

2020

Nejrohirurgiâ (Mosk.)

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Introduction. Epidural hematoma (EDH) is when bleeding occurs between the tough outer membrane covering the brain (dura mater) and the skull. The most common cause is typically head injury. Diagnosis is typically by a computed tomography (CT) scan or magnetic resonance imaging. If large EDH, treatment is generally by urgent surgery in the form of a craniotomy or burr hole. Without treatment, death typically results. We explore a surgical case of small frontal EDH in patient with Glasgow Coma Score 8.Case report. Thirty years male patient was admitted at Emergency Hospital with Glasgow Coma Score 8 on ventilator. Rapid CT brain was done and showed massive brain edema with small EDH. Conservative treatment had been tried for 24 hours, but with no improvement as we could not give mannitol therapy to this patient. Follow-up CT showed the same EDH and brain edema. We tried new policy and evacuated EDH with giving mannitol and furosemide therapy postoperative. The patient became with Glasgow Coma Score 13 and improved in 7 days.Conclusion. Evacuation of small EDH may be helpful in some conditions not responding to conservative treatment especially in severe brain edema.

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Pronóstico de las escalas Glasgow y FOUR (Full Outline of UnResponsiveness) en trauma craneoencefálico severo

García Cristancho,

Amaya Muñoz,

Dulcey Sarmiento

et al. 2024

ReSaDes

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El presente trabajo tiene como objetivo evaluar el valor pronóstico de las escalas de Glasgow y FOUR para el coma, en pacientes con lesión cerebral traumática en la ciudad de Mérida, Venezuela. El estudio fue prospectivo. Fueron incluidos en él a mayores de edad con injuria cerebral de origen traumático. La muestra abarcó 56 integrantes (el 87 % masculino y el 13 % femenino). El promedio de edad fue de 26.9 años. El 87 % de las consultas fueron por lesiones en accidente automovilístico. El edema cerebral fue la principal alteración en las neuroimágenes, y en estos pacientes, se encontró significancia estadística. El manejo quirúrgico fue requerido en 8 pacientes. Hubo deceso en 12 pacientes del total de la muestra. La escala de Glasgow fue de 9 puntos en los pacientes que se mantuvieron con vida, y de 6 puntos en el subgrupo de los fallecidos. La correlación entre las pruebas fue de 0.89 en la d de Somers; 0.91 en la Gamma; y 0.86 en la Tau-b de Kendall. Como conclusiones puede decirse que, existió una adecuada correlación entre las escalas. No obstante, la escala de FOUR tiene ventajas para evaluar los reflejos del tallo.

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Epidemiología del traumatismo craneoencefálico en la población mayor de 65 años a lo largo de 25 años

Cited by 4 publications

References 18 publications

Sodium brain trauma Prognostic value of the sodium alterations during the first seven days in adults patients with severe brain trauma of the autonomous institute university hospital of Los Andes Merida between June 2017 - June 2018

Sodium brain trauma Prognostic value of the sodium alterations during the first seven days in adults patients with severe brain trauma of the autonomous institute university hospital of Los Andes Merida between June 2017 - June 2018

Small epidural hematoma for surgery

Pronóstico de las escalas Glasgow y FOUR (Full Outline of UnResponsiveness) en trauma craneoencefálico severo

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