Brain Trauma: Clinical Manifestations
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The brain trauma (BT) is a big public health problem in all developed and developing countries. It is due to its current epidemical nature since neurological injures are those which require more hospitalizations and produce the highest rates of neurophysical and neuropsychological after-effects in individuals who are healthy and with a long life expectancy. The BT deserves careful attention on the part of the governments, the scientific sphere, general practitioners, internists and neurosurgeons since the life of a patient depends on a rapid and efficient attention. The Intensive Care Units (ICU) have become the paradigm of the acute neurologic pathology. The ICUs have had changes and advances for the last 25 years in regard to the handling of this pathology. This review article shows different aspects of BT and analyzes factors of its clinical manifestations. Since the patient is taken to the accident and emergency department until some due procedures during the medical assessments. Likewise, the main classifications, scales and charts used for its rapid assessment are shown.
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Lozano Losada A. Trauma craneoencefálico aspectos epidemiológicos y fisiopatológicos. Revista Facultad de Salud Universidad Surcolombiana. 2009;1:63-76.
Gennarelli TA. Mechanisms of brain injury. The Emergency Medicine. 1993;11:5-11.
Gennarelli TA, Spielman GM, Langfitt TW. et al. Influence of the type of intracraneal lesion on outcome from severe head injury. ournal Neurosurgery. 1982;56:26-32.
Marshall LF, Gautille T, Klauber MR. et al. The outcome of severe closed head injury. Journal Neurosurgery. 1991;75(Suppl):S28-S36.
Teasdale G, Jennet B. Assessment of coma and impaired consciousness. A practical scale. The Lancet. 1974;2:81-84.
Teasdale G, Jennett B. Assessment of coma and impaired consciousness: A practical scale. Lancet. 1984; 2:81.
Levati A, Frine ML, Vecchi G. et al. Prognosis of severe head injuries. Journal Neurosurgery. 1982; 57:779-783.
Eisemberg HM, Gary HE Jr, Aldrich EF. et al. Initial findings in 753 patients with severe head injury. A report from the NIH traumatic coma data bank. Journal Neurosurgery. 1990;73:688-698.
Waxman K, Sundine MJ, Young RF. Is early prediction of outcome in severe head injury possible? Archives of Surgery. 1991;126:1237-1242.
Wilberger JE Jr, Deeb Z, Rothfus W. et al. Magnetic resonance imaging in cases of severe head injury. Neurosurgery. 1987;20: 571-576.
Miller JD, Sweet RC, Narayan R. et al. Early insults to the injury brain. JAMA 1978; 240:439-442
Greenberg RP, Newlon PG, Hyatt MS. et al. Prognostic Implications of early multimodality evoked potentials in severely headinjured patients. A prospective study. Journal Neurosurgery 1981;55:227-236.
Narayan RK, Greenberg RP, Miller JD. et al. Improved confidence of outcome prediction in severe head injury. A comparative analysis of the clinical examination, multimodality evoked potentials, CT scanning, and intracranial pressure. Journal Neurosurgery. 1981;54:751-762.
Narayan RK, Contant CF, Russel DK. et al. Gunshot Wounds to the Head. Lessons From a 9- Year Civilian Experience. American Association of Neurological Surgeons. AANS 60th Annual Meeting, San Francisco. 1992; pág. 369
Hans P, Albert A, Franssen C. et al. Improved outcome prediction based on CSF extrapolated creatine kinase BB isoenzyme activity and other risk factors in severe head injury. Journal Neurosurgery; 1989;71:54-58.
Gibson RM, Stephenson GC. Aggressive management in severe closed head trauma: time for reappraisal. Lancet, 1989;2:369-371