Rehabilitation of Patients with Traumatic Brain Injury

Chuang, Kathy; Stroud, Nicole L.; Zafonte, Ross

doi:10.1016/b978-1-4160-5316-3.00345-2

Cited by 2 publications

(3 citation statements)

References 138 publications

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“…Risk factors for PTH are not yet fully identified but data suggested severity of injury, age, duration of coma, and decompressive craniectomy (DC) increased the risk. 5) Previous studies suggested that factors such as altered ICP dynamics, mechanical blockage, and inflammation of the arachnoid granulation by postsurgical debris may induce PTH. 7 8 17 21) Waziri et al 21) suggested that DC may play a role in the flattening of the normally dicrotic ICP waveform in patients having the procedure, due to the transmission of the pressure pulse out through the open cranium.…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Results of Shunt Operation for Hydrocephalus Following Traumatic Brain Injury

Kim

Lee

Hun

et al. 2015

Korean J Neurotrauma

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ObjectiveVentricular enlargement following head injury is a frequent finding but cases requiring shunt operation are rare. The incidence and developing factors of post-traumatic hydrocephalus (PTH) have been variously reported, but studies for factors influencing outcomes of shunt operation for PTH are rare. The incidence of PTH requiring shunt operation, causing injuries, and factors influencing outcome of shunt operation need to be identified.MethodsIn total, 1,142 patients suffering from traumatic brain injury (TBI) between January 2007 and December 2012 were admitted to our department. Of them, 23 patients underwent shunt operation for diagnosed PTH. In this clinical study, we reviewed retrospectively our TBI database and in the 23 patients, we evaluated outcomes with Glasgow Outcome Score just before the operation, at 14 days, 3 months, and 6 months according to initial Glasgow Coma Scale (GCS) score, interval time between shunt operation and trauma, and lumbar cerebrospinal fluid (CSF) pressure.ResultsThe incidence of PTH treated with shunt operation was 2.01%. Subdural hematoma (SDH) was the most common preceding head injury. The outcomes of shunt operation were not related with lumbar CSF pressure or interval time from trauma, but initial GCS score correlated with the outcome.ConclusionIn present study, 2.01% of TBI patients underwent shunt operation. SDH was the most common preceding injury. Admission GCS score was related to the outcome of shunt operation. However, there were no correlation between the outcome of shunt operation and initial lumbar CSF pressure or interval time of shunt operation after the trauma.

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Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Results of Shunt Operation for Hydrocephalus Following Traumatic Brain Injury

Kim

Lee

Hun

et al. 2015

Korean J Neurotrauma

View full text Add to dashboard Cite

show abstract

“…In general, older age is associated with worse outcomes and age over 65 is rarely associated with good recovery (Chuang et al, 2011). In general, older age is associated with worse outcomes and age over 65 is rarely associated with good recovery (Chuang et al, 2011).…”

Section: Prognosis and Recoverymentioning

confidence: 99%

“…Strict clinical criteria for dysautonomia are lacking, but Chuang et al (2011) propose that the diagnosis should be based on the "operational definition of paroxysmal increases": heart rate greater than 120 beats/ minute, respiratory rate greater than 30 per minute, temperature elevation, systolic blood pressure greater than 160 mmHg, the presence of sweating or flushing, elevation in baseline muscle tone, and posturing (either decerebrate or decorticate). Recognizing this constellation of symptoms and promptly treating them are important for patient outcomes.…”

Section: Dysautonomiamentioning

confidence: 99%