The acute period of recovery from traumatic brain injury: posttraumatic amnesia or posttraumatic confusional state?

Stuss, Donald T.; Binns, Malcolm A.; Carruth, F.; Levine, Brian; Brandys, Clare E.; Moulton, Richard J.; Snow, William G.; Schwartz, Michael L.

doi:10.3171/jns.1999.90.4.0635

Cited by 126 publications

(97 citation statements)

References 40 publications

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“…after-effects of concussion, acute traumatic psychosis, delirium or posttraumatic confusional state (PTCS), refers early phase of recovery and includes rapid-onset symptoms of agitation and irritability caused by attention abnormality, disorientation including cognitive or perceptual disturbance, decreased judgement and arousal, disinhibition, inappropriate mood and disrupted sleep/wake cycle 14,15) . As their names imply, they arise from disorganized brain structures including the parietal lobe, the frontostriatal regions, the middle temporal gyrus, the hippocampal formation, and the fusiform gyri of the medial temporal lobe 11) .…”

Section: Discussionmentioning

confidence: 99%

Spinal Subdural Hemorrhage as a Cause of Post-Traumatic Delirium

2008

J Korean Neurosurg Soc

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Section: Discussionmentioning

confidence: 99%

Spinal Subdural Hemorrhage as a Cause of Post-Traumatic Delirium

2008

J Korean Neurosurg Soc

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“…Daarna volgt een episode van wat wordt genoemd 'posttraumatische amnesie' (PTA) (Russell & Smith 1961). Dit is een toestand van verwardheid, desorie¨ntatie, vergeetachtigheid (amnesie) en stoornissen in de aandachtsfuncties (Stuss et al 1999).…”

Section: Posttraumatische Amnesie (Pta)unclassified

Posttraumatische amnesie: wat is het en hoe meet je het?

Schmand¹

2001

NEPR

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De periode van herstel na schedel-hersenletsel wordt onder andere gekenmerkt door vergeetachtigheid en verwardheid, de posttraumatische amnesie. Het is al jaren bekend dat de duur van deze posttraumatische amnesie veel zegt over de mate waarin de patie¨nt uiteindelijk zal herstellen. Toch wordt er in het ziekenhuis niet systematisch rekening mee gehouden. Dit artikel biedt een praktische oplossing: de Orientation Log (O-Log). Eerst een beetje epidemiologieLetsel aan het hoofd overkomt ieder jaar ongeveer 2% van de bevolking, tweemaal zoveel mannen als vrouwen (Jennett 1996). In ongeveer e´e´n op de zeven gevallen is het letsel dermate ernstig dat opname in het ziekenhuis nodig is. In de West-Europese landen overlijden 3 tot 8% van degenen die worden opgenomen, terwijl de rest in meerdere of mindere mate herstelt. De oorzaak van het letsel is meestal een verkeersongeval, vaak een valpartij en minder vaak een geweldsdelict. De grootste groepen slachtoffers zijn kinderen en jong-volwassen mannen. Degenen die eraan overlijden zijn vooral ouderen.

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“…According to some authors, patients with more severe traumas display an amnesia profile that contributes to the GOAT score, but in lighter traumas, attention and confusion are the primary factors that contribute to the scoring (21) .…”

Section: Final Considerationsmentioning

confidence: 99%

Galveston Orientation Amnesia Test (GOAT)

Silva

Sousa

2009

Rev. esc. enferm. USP

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RESUMOO trauma crânio-encefálico contuso (TCEC) é freqüentemente seguido pela amnésia pós-traumática (APT), caracterizada como um estado transitório de confusão e desorientação. Sua duração tem sido utilizada para quantificar a gravidade do TCEC e prever distúrbios nas funções cognitivas, assim como para antever as alterações na capacidade funcional das vítimas pós-trauma. O Galveston Orientation Amnesia Test (GOAT) é o primeiro instrumento sistematizado criado e o mais amplamente utilizado para avaliar a APT. Este artigo apresenta esse instrumento, as bases conceituais para seu desenvolvimento e a adaptação e validação do GOAT para cultura brasileira. Além disso, descreve sua aplicação e comenta as restrições do seu uso. Resultados de pesquisas realizadas em nosso meio contribuíram para as evidências sobre a validade do GOAT. Também apontaram os indicadores do momento pós-trauma em que o GOAT deve ser aplicado e destacaram as dificuldades no uso desse instrumento. DESCRITORES ABSTRACTClosed head injury (CHI) is frequently followed by post-traumatic amnesia (PTA) and is characterized by a transitory state of confusion and disorientation. The PTA duration has been used to quantify the CHI severity and to predict disorders in cognitive functions, as well as to foresee any alteration in the functional capacity of posttrauma victims. The Galveston Orientation Amnesia Test (GOAT) is the first systematized instrument created, and the most broadly applied, to assess PTA. This article presents the GOAT, the conceptual basis for the development of the instrument, and its adaptation and validation to the Brazilian culture. In addition, the article describes the application of the instrument and makes comments on the restrictions of its use. Brazilian research results showed evidences of the GOAT's validity. They also point to the indicators of post-trauma conditions in which the GOAT must be applied, and highlight the difficulties in the application of the instrument. KEY WORDSAmnesia. Trauma Severity Indices. Head injuries, closed. Validation studies. RESUMENEl trauma cráneo-encefálico contuso (TCEC) es frecuentemente seguido por la amnesia pos-traumática (APT), caracterizada como un estado transitorio de confusión y desorientación. Su duración ha sido utilizada para cuantificar la severidad del TCEC y prever alteraciones en las funciones cognitivas, tanto como para antever las dificultades en la capacidad funcional de las vícti-mas pos-trauma. El Galveston Orientation Amnésia Test (GOAT) es la primera encuesta sistematizada que fue creada y el mas am-pliamente utilizada para evaluar la APT. Esta publicación presenta esta encuesta, las bases conceptuales para su desarrollo y la adaptación y validación del GOAT para la cultura brasileña. Además, describe su aplicación y limitaciones en el uso. Resultados de pesquisas brasileñas contribuyeron para las evidencias sobre la validad del GOAT. También apuntaron los indicadores del momento pos-trauma en que el GOAT debe ser aplicado y destacaron las dificultades en el uso de es...

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The acute period of recovery from traumatic brain injury: posttraumatic amnesia or posttraumatic confusional state?

Cited by 126 publications

References 40 publications

Spinal Subdural Hemorrhage as a Cause of Post-Traumatic Delirium

Spinal Subdural Hemorrhage as a Cause of Post-Traumatic Delirium

Posttraumatische amnesie: wat is het en hoe meet je het?

Galveston Orientation Amnesia Test (GOAT)

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