The Impact of Head Trauma on Society

Ivan, Leslie P.

doi:10.1017/s0317167100045935

Cited by 6 publications

(4 citation statements)

References 3 publications

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“…Nosso estágio de desenvolvimento nos coloca entre extremos, como por exemplo, Canadá -Uganda; por isso, temos etiologias comuns a estas distintas sociedades. Exemplificando, possuímos prevalência de NC, típica de terceiro mundo 1,9 , combinada com taxas de TCE que excedem em muito ao verificado nos países desenvolvidos 10,11 . Aliás, apesar da nossa fama de produzir bons esportistas (e pilotos também), somos pessimamente mal educados no trânsito.…”

Section: Discussionunclassified

Causas de epilepsia tardia em uma clínica de epilepsia do Estado de Santa Catarina

Rigatti

Trevisol-Bittencourt

1999

Arq. Neuro-Psiquiatr.

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Resumo -Objetivo: Identificar em nossa sociedade as etiologias mais prováveis de epilepsia iniciada após os 18 anos de idade. Método: Estudo retrospectivo e descritivo na CME/SUS de Florianópolis de 1990 à 1998, analisando 120 prontuários de pacientes com epilepsia tardia, isto é, aqueles que iniciaram suas crises epilépticas dos 18 anos em diante. As variáveis coletadas foram: idade da primeira crise, etiologias prováveis, história mórbida familiar. Resultados: A prevalência encontrada para epilepsia tardia foi 29,48%.Epilepsias parciais sintomáticas foram majoritárias e as etiologias mais frequentes e relevantes encontradas foram: cisticercose com cerca de 20%, trauma crânio encefálico com 15%, convulsão febril na infância com 5% e 35% da amostra foi classificada como idiopática. Conclusão: prevalência de epilepsia de início tardio em nossa sociedade é 29,48%, cifra ligeiramente superior à relatada em países desenvolvidos (25%). Muito provavelmente, esta diferença é consequência do caráter epidêmico de cisticercose entre nós. Além disso, trauma crânio encefálico e crises febris são etiologias comuns. Profilaxia de epilepsia é viável e urgentemente necessária em nosso Estado.PALAVRAS-CHAVE: epilepsia, cisticercose, convulsão febril, trauma craniano. Etiologies of late-onset epilepsy in an epilepsy clinic of Santa Catarina-Southern BrazilABSTRACT -Objective: To identify the most common etiologies of late-onset epilepsy in our society. Method: Retrospective and descriptive study in the CME/SUS of Florianópolis from 1990 to 1998, evaluating 120 handbooks of patients with late-onset epilepsy, that is, those that had initiated epileptic seizures of the 18 years in ahead. The collected variables were: age of the first seizure, etiologies and morbid familial history. Results: The prevalence rate found for late-onset epilepsy was 29.48%. Most of the sample had partial symptomatic epilepsy and the most frequent and important were: cysticercosis with 20%, head trauma with 15%, febrile convulsions in infancy with 5% and 35% were classified as idiopatic. Conclusion: Prevalence of late-onset epilepsy in our society is 29.48%, value slightly upper to the told one in developed countries (25%). Very probably, this difference is consequence of the epidemic character of cysticercosis among us. Moreover, head trauma and febrile convulsions are common etiologies. Prophylaxis of epilepsy is viable and urgently necessary in our society. KEY-WORDS: epilepsy, cysticercosis, febrile convulsion, head trauma.Epilepsia é um distúrbio recorrente da bioeletrogênese cerebral. Ela é uma síndrome neurológica comum, tendo alta prevalência mundial, estimada entre 0,4 a 2% da população em geral 1,2 . Países em desenvolvimento são os que aparentemente apresentam taxas mais elevadas de epilepsia, isto refletindo possivelmente uma maior exposição aos fatores de risco associados com epilepsia 1 . No Brasil, apesar da inexistência de estudos epidemiológicos adequados envolvendo diferentes regiões sócio-econômicas, supõe-se que algo em torno de 1 a 2% ...

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Section: Discussionunclassified

Causas de epilepsia tardia em uma clínica de epilepsia do Estado de Santa Catarina

Rigatti

Trevisol-Bittencourt

1999

Arq. Neuro-Psiquiatr.

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“…Regardless of the cause, race, sex, or age of the injured, head injuries are often a severe and expensive injury for society, the individual, and the military [8]. Preventive efforts that reduce the morbidity and mortal ity of head injuries could save the military and the afflicted individuals a great deal of money as well as misery.…”

Section: Discussionmentioning

confidence: 99%

5-Year Study of Incidence Rates of Hospitalized Cases of Head Injuries in the US Army

McCarroll

Gunderson²

1990

Neuroepidemiology

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Incidence rates of hospitalized head injury cases in the US Army were calculated by age, race, and sex. Skull fractures and intracranial diagnoses were found almost exclusively in males. For concussion, white males were at about 1.5 times greater risk compared to black males, and white females were at about 2 to greater than 3 times the risk compared to black females. For other intracranial injury, males were at 1.25 to about 2 times increased risk compared to females, white males were at about 1.5 times risk compared to black males, and white females were at 1.5–2 times greater risk compared to black females. Ten percent of head injury cases had an alcohol-related additional diagnosis and 97% of these were found in males.

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“…In reviewing the clinical records of these cases, enough cases of confirmed alco hol involvement occurred to suggest that it is being significantly underreported on the clinical record cover sheet although it was frequently noted in the history. This is not surprising since alcohol has often been asso ciated with head injury [7], One study found that of 159 cases of moderate head injury, 53% were intoxicated and 73% had some alcohol present in their blood [8].…”

Section: Discussionmentioning

confidence: 99%

Descriptive Epidemiologic Survey of Head Injury in the Army: 1983 Hospitalized Cases

McCarroll

Zych²

1988

Neuroepidemiology

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A descriptive epidemiologic study of head injury cases that were discharged from army medical facilities during fiscal year 1983 was performed. For the diagnosis of concussion, the male and female rates were approximately equal between the ages 18–24 and 25–34 and for the total, ages 18–34. For the diagnosis of other- intracranial injury and the total of all head injuries, males between ages 18–24 and 18–34 had statistically significantly higher rates than females. Cases were reviewed from Walter Reed Army Medical Center to test the hypothesis that alcohol and drug abuse were underreported risk factors for military personnel sustaining head injuries.

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The Impact of Head Trauma on Society

Cited by 6 publications

References 3 publications

Causas de epilepsia tardia em uma clínica de epilepsia do Estado de Santa Catarina

Causas de epilepsia tardia em uma clínica de epilepsia do Estado de Santa Catarina

5-Year Study of Incidence Rates of Hospitalized Cases of Head Injuries in the US Army

Descriptive Epidemiologic Survey of Head Injury in the Army: 1983 Hospitalized Cases

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