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Skull radiographs and computed tomography scans in children and adolescents with mild head trauma; Radiografia simples e tomografia computadorizada do crânio em crianças e adolescentes vítimas de traumatismo craniano leve

MELO, José Roberto Tude; REIS, Rodolfo Casimiro; LEMOS-JÚNIOR, Laudenor Pereira; AZEVEDO-NETO, Assuero; OLIVEIRA, Dalton Willy Santos; GARCIA, Felipe René F. Cruz; RIBEIRO, Joelson Oliveira; SANTOS-NETO, Muryllo de Brito; OLIVEIRA-FILHO, Jamary
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
56.52%
OBJECTIVE: To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans. METHOD: Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 and May 2008. RESULTS: A total of 1888 mild head trauma patients were admitted; mean age was 7.4 (±5.5) years. A total of 1956 skull radiographs and 734 CCT scans were performed. About 44.4% patients with Glasgow coma score (GCS) 13 and 55.4% with GCS 14 had abnormal CCT scans. In patients with multiple traumas, 16% had abnormal findings on CCT scans. CONCLUSION: We strongly recommend routine CCT studies to patients with GCS of 13 and 14 or to multiple trauma victims, independently of score. Routine screening skull radiographs were not useful in the evaluation of mild head trauma patients in this study.; OBJETIVO: Identificar quais os pacientes na faixa pediátrica com trauma craniencefálico leve são candidatos para a realização de radiografia simples ou tomografia computadorizada do crânio (TCC). MÉTODO: Pacientes com trauma craniano leve, entre 0 e 19 anos, admitidos em um centro de referência em traumatologia...

Hyperglycemia in pediatric head trauma patients: a cross-sectional study; Hiperglicemia em pacientes pediátricos com traumatismo craniencefálico: estudo de corte transversal

MELO, José Roberto Tude; REIS, Rodolfo Casimiro; LEMOS-JÚNIOR, Laudenor Pereira; COELHO, Henrique Miguel Santos; ALMEIDA, Carlos Eduardo Romeu de; OLIVEIRA-FILHO, Jamary
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
66.59%
OBJECTIVE: To verify the prevalence of acute hyperglycemia in children with head trauma stratified by the Glasgow coma scale (GCS). METHOD: A prospective cross-sectional study carried out with information from medical records of pediatric patients presenting with head injury in the emergency room of a referral emergency hospital during a one year period. We considered the cut-off value of 150 mg/dL to define hyperglycemia. RESULTS: A total of 340 children were included and 60 (17.6%) had admission hyperglycemia. Hyperglycemia was present in 9% of mild head trauma cases; 30.4% of those with moderate head trauma and 49% of severe head trauma. We observed that among children with higher blood glucose levels, 85% had abnormal findings on cranial computed tomography scans. CONCLUSION: Hyperglycemia was more prevalent in patients with severe head trauma (GCS <8), regardless if they had or not multiple traumas and in children with abnormal findings on head computed tomography scans.; OBJETIVO: Verificar a prevalência de hiperglicemia aguda em crianças vítimas de trauma craniencefálico, de acordo com a escala de coma de Glasgow (GCS). MÉTODO: Estudo prospectivo, de corte transversal realizado por meio do acompanhamento de prontuários médicos de pacientes na faixa etária pediátrica admitidos na unidade de urgência de um hospital de referência vítimas de traumatismo craniencefálico...

Quality of life and neuropsychological changes in mild head trauma - Late analysis and correlation with S100B protein and cranial CT scan performed at hospital admission

LIMA, Daniela Paoli de Almeida; SIMAO FILHO, Charles; ABIB, Simone de Campos Vieira; FIGUEIREDO, Luiz F. Poli de
Fonte: ELSEVIER SCI LTD Publicador: ELSEVIER SCI LTD
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
66.46%
Introduction: mild head trauma (MHT) is defined as a transient neurological deficit after trauma with a history of impairment or loss of consciousness lasting less than 15 min and/or posttraumatic amnesia, and a Glasgow Coma Scale between 13 and 15 on hospital admission. We evaluated 50 MHT patients 18 months after the trauma, addressing signs and symptoms of post-concussion syndrome, quality of life and the presence of anxiety and depression. We correlate those findings with the S100B protein levels and cranial CT scan performed at hospital admission after the trauma. Method: patients were asked to fill out questionnaires to assess quality of life (SF36), anxiety and depression (HADS), and signs and symptoms of post-concussion syndrome. For the control group, we asked the patient`s household members, who had no history of head trauma of any type, to answer the same questionnaires for comparison. Results: total quality of life index for patients with MHT was 58.16 (+/-5), lower than the 73.47 (+/-4) presented by the control group. Twenty patients (55.2%) and four (11.1%) controls were depressed. Seventeen patients (47.2%) presented anxiety, whereas only eight (22.2%) controls were considered anxious. Victims of MHT complained more frequently of loss of balance...

Trauma craniencefálico leve: avaliação tardia da qualidade de vida e alterações neuropsicológicas; Mild head trauma. Late evaluation of quality of life and neuropsychological changes

Lima, Daniela Paoli de Almeida
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 27/06/2007 PT
Relevância na Pesquisa
46.54%
Trauma de crânio leve (TCE leve) é definido como um déficit neurológico transitório que ocorre após um trauma incluindo história de náuseas, vômitos, cefaléia ou tontura acompanhada de alteração ou perda da consciência com duração inferior a 15 minutos, amnésia pós traumática e Escala de Coma de Glasgow entre 13 e 15. Apesar da alta taxa de sobrevida, pode cursar com alguma morbidade, principalmente nos três primeiros meses posteriores ao trauma e cerca de 18 % dos pacientes desenvolvem pelo menos uma síndrome psiquiátrica no primeiro ano após o acidente. O diagnóstico ainda é um desafio no sentido de minimizar-se gastos desnecessários com exames subsidiários entretanto, intervenções precoces podem evitar seqüelas. Nosso objetivo foi verificar o impacto do TCE leve na qualidade de vida de suas vítimas e diagnosticar as várias alterações neuropsicológicas que podem advir deste trauma. Esses alterações podem ser verificadas através de instrumentos de pesquisa. Inicialmente, foram avaliadas cinqüenta vítimas com TCE leve, atendidas no Hospital João XXIII, em Belo Horizonte - MG, as quais foram submetidas a dosagem de proteína S100B e tomografia de crânio (TCC) na admissão. Nessa fase, verificou-se que a proteína S100B tem valor preditivo negativo de 100%. Dezoito meses após o trauma...

Metabolismo da glicose cerebral no trauma crânio-encefálico: uma avaliação

Schelp, AO.; Burini, R.C.
Fonte: Academia Brasileira de Neurologia (ABNEURO) Publicador: Academia Brasileira de Neurologia (ABNEURO)
Tipo: Artigo de Revista Científica Formato: 698-705
POR
Relevância na Pesquisa
46.42%
Os autores apresentam revisão geral da distribuição e metabolização da glicose, com ênfase para os distúrbios que ocorrem no trauma crânio-encefálico, como a hiperglicemia que ocorre na fase aguda. Finalizando, são feitos comentários sobre as possíveis conseqüências desses conhecimentos sobre os procedimentos atuais, que aconselham a restrição na oferta de glicose a pacientes com catabolismo acentuado e que necessitam poupar o contingente de proteína corporal.; The authors give a general overview on the cerebral glucose metabolism, with special reference to brain injury, including intake, blood-brain barrier properties for glucose transport, oxidative metabolism and energetic needs during the head trauma. The evidences of the presence of ischemia and hypoxia in those situations and the relationships with the cerebral glucose metabolism are discussed. They point to the several explanations for hyperglicemia present up to 10 days after admission in brain injury, relating to the energetic needs at different phases of head trauma recovery. Some considerations are made about the lack of evidences on increase in glucose consumption or lactate production when hyperglycemia occurs in association with brain damage and ischemia caused by head trauma. The brain capacity to compensate metabolic disturbances is discussed. Some questions are made about current indications for restriction of glucose infusion in pacients who are in catabolic phase and need to spare their body protein pool. At the same way...

A resposta metabólica ao trauma cranioencefálico é autolimitada? Análise das proteínas de fase aguda e glicemia

SCHELP, ARTHUR O.; ANGELELI, APARECIDA Y.O.; ZANINI, MARCO A.; TSUJI, HISACHI; BURINI, ROBERTO C.
Fonte: Academia Brasileira de Neurologia (ABNEURO) Publicador: Academia Brasileira de Neurologia (ABNEURO)
Tipo: Artigo de Revista Científica Formato: 778-788
POR
Relevância na Pesquisa
46.5%
Nos últimos anos tem havido referências à limitação da resposta metabólica nas duas primeiras semanas após trauma cranioencefálico (TCE). Foi feita proposta de estudo a partir de experimento clínico em pacientes com trauma encefálico grave, que foram avaliados por volta de 7 dias após a lesão (M1). A segunda avaliação ocorreu 4 dias após (M2), e a terceira 3 a 4 dias após (M3). em um período de 2 anos, foram selecionados 28 pacientes do sexo masculino, com trauma encefálico grave, escala de gravidade de Glasgow entre 4 e 6. Dentre os 28 pacientes, 6 completaram o estudo proposto. Os pacientes foram acompanhados clinicamente durante toda a fase do experimento. em cada um dos momentos de análise, foram feitas análises da excreção nitrogenada e proteínas de fase aguda. da mesma forma foram feitas determinações da glicemia plasmática, N-amínico e triglicerídeos. Os resultados do estudo demonstraram não haver modificações no balanço nitrogenado, normalização da proteína-C-reativa e redução relativa da glicemia ao final do experimento. Os autores tecem considerações sobre os possíveis mecanismos envolvidos na modulação da resposta metabólica e concluem que o hipermetabolismo, a basear-se na análise da glicemia e das proteínas de fase aguda...

Guillain-Barré syndrome and head trauma: case report

Freitas,Gabriel R. de; Freitas,Marcos R. G. de; Ferreira,Myriam C. L.
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/1997 EN
Relevância na Pesquisa
66.36%
The authors report the case of a 29 years old male patient presenting classical Guillain-Barré syndrome following head trauma. Only one other similar case is described in the literature. Head trauma as a precipitating event of the disease is discussed.

CT scan findings in mild head trauma: a series of 2,000 patients

Bordignon,Kelly C.; Arruda,Walter Oleschko
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2002 EN
Relevância na Pesquisa
66.42%
The present study describes the cranial computed tomography (CT) scan findings of 2,000 cases of mild head trauma (HT) in Curitiba, Southern Brazil. The mean age of the entire series was 30.8 ±19 years. The overall male to female ratio was 2:1. The most common causes of head injury were interpersonal aggression (17.9%), falls (17.4%), automobile accidents (16.2%), falls to the ground (13.1%) and pedestrian injuries (13 %). Alcohol intoxication was associated with HT in 158 cases (7.9%). A normal CT scan was seen in 60.75% (1215) and an abnormal CT scan in 39.25% (785) of patients. Out of 785 abnormal CT scan, 518(65.9%) lesions were related to HT. The most common CT scan HT related findings were: soft tissue swelling (8.9 %), skull fractures (4.3 %), intracranial and subgaleal hematomas (3.4% and 2.4 %), brain swelling (2 %) and brain contusion (1.2%). Out of 785 abnormal CT scans, 267 (34.1%) lesions were not related to head trauma. Incidental CT scan findings included brain atrophy (5.9%), one calcification (5.2%) several calcifications (2.4%) (probably neurocysticercosis in most cases), ischemic infarct (1.9%) and leukoaraiosis (1.3%). These findings showed the importance of CT scan examination in mild head injuries. Further studies to identify mild HT patients at higher risk of significant brain injury are warranted in order to optimize its use.

Skull radiographs and computed tomography scans in children and adolescents with mild head trauma

Melo,José Roberto Tude; Reis,Rodolfo Casimiro; Lemos-Júnior,Laudenor Pereira; Azevedo-Neto,Assuero; Oliveira,Dalton Willy Santos; Garcia,Felipe René F. Cruz; Ribeiro,Joelson Oliveira; Santos-Neto,Muryllo de Brito; Oliveira-Filho,Jamary
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
46.47%
OBJECTIVE: To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans. METHOD: Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 and May 2008. RESULTS: A total of 1888 mild head trauma patients were admitted; mean age was 7.4 (±5.5) years. A total of 1956 skull radiographs and 734 CCT scans were performed. About 44.4% patients with Glasgow coma score (GCS) 13 and 55.4% with GCS 14 had abnormal CCT scans. In patients with multiple traumas, 16% had abnormal findings on CCT scans. CONCLUSION: We strongly recommend routine CCT studies to patients with GCS of 13 and 14 or to multiple trauma victims, independently of score. Routine screening skull radiographs were not useful in the evaluation of mild head trauma patients in this study.

Hyperglycemia in pediatric head trauma patients: a cross-sectional study

Melo,José Roberto Tude; Reis,Rodolfo Casimiro; Lemos-Júnior,Laudenor Pereira; Coelho,Henrique Miguel Santos; Almeida,Carlos Eduardo Romeu de; Oliveira-Filho,Jamary
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2009 EN
Relevância na Pesquisa
66.54%
OBJECTIVE: To verify the prevalence of acute hyperglycemia in children with head trauma stratified by the Glasgow coma scale (GCS). METHOD: A prospective cross-sectional study carried out with information from medical records of pediatric patients presenting with head injury in the emergency room of a referral emergency hospital during a one year period. We considered the cut-off value of 150 mg/dL to define hyperglycemia. RESULTS: A total of 340 children were included and 60 (17.6%) had admission hyperglycemia. Hyperglycemia was present in 9% of mild head trauma cases; 30.4% of those with moderate head trauma and 49% of severe head trauma. We observed that among children with higher blood glucose levels, 85% had abnormal findings on cranial computed tomography scans. CONCLUSION: Hyperglycemia was more prevalent in patients with severe head trauma (GCS <8), regardless if they had or not multiple traumas and in children with abnormal findings on head computed tomography scans.

Green turtle head trauma with intracerebral hemorrhage: image diagnosis and treatment

Goldberg,Daphne Wrobel; Adeodato,Alex; Almeida,Daniella Torres de; Corrêa,Leandro Gomes; Wanderlinde,Juçara
Fonte: Universidade Federal de Santa Maria Publicador: Universidade Federal de Santa Maria
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2010 EN
Relevância na Pesquisa
66.36%
Sea turtles are threatened to the point of extinction. The major goal of rehabilitating injured individuals is to eventually reintroduce them back into their habitat. Sea turtles are vulnerable to anthropogenic effects, and impact traumas are a common cause of death among these animals. Carapace and skull fractures are usually related to vessel collisions or propeller impacts. However, intentional traumas inflicted by humans are also considered as a potential threat. The purpose of this article is to describe the diagnosis and rehabilitation procedures of a juvenile green turtle (Chelonia mydas) after severe head trauma with brain hemorrhage. The data presented here can be used as a reference for future cases of head trauma in chelonians.

Anosmia associated with hearing loss and benign positional vertigo after head trauma

Ottaviano, G; Marioni, G; Marchese-Ragona, R; Trevisan, CP; De Filippis, C; Staffieri, A
Fonte: Pacini Editore SpA Publicador: Pacini Editore SpA
Tipo: Artigo de Revista Científica
Publicado em /10/2009 EN
Relevância na Pesquisa
46.42%
It is well known that head trauma may cause hearing loss, which can be either conductive or sensorineural. Benign paroxysmal positional vertigo and olfactory dysfunction due to head trauma are also well known. The association between sensorineural hearing loss and anosmia, following head trauma, is extremely rare. Two rare cases of post-traumatic occurrence of hearing loss, olfactory dysfunction and benign positional vertigo are reported and the pathophysiology of the association between sensorineural hearing loss, anosmia and benign paroxysmal positional vertigo, after head injury, are briefly discussed. ENT specialists should, in the Authors’ opinion, be aware of the possible association between anosmia, sensorineural hearing loss and benign paroxysmal positional vertigo after head injury, even in the absence of skull fracture.

Recurred pneumocephalus in a head trauma patient following positive pressure mask ventilation during induction of anesthesia -A case report-

Moon, Hyun Soo; Lee, Soo Kyung; Chung, Seung Hwan; Chung, Ji Hoon; Chang, In Bok
Fonte: The Korean Society of Anesthesiologists Publicador: The Korean Society of Anesthesiologists
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.45%
Pneumocephalus is a condition which usually results from head trauma. It has been known that iatrogenic pneumocephalus can occur as a complication of positive pressure mask ventilation during induction of anesthesia or ventilatory care for head trauma patients. We report a case of mask ventilation during anesthesia induction in a 50-year-old male patient with head trauma. Initial pneumocephalus associated with cerebrospinal fluid leakage was diagnosed immediate following head injury involving facial sinuses. He was managed with emergent lumbar drainage and supportive care. Pneumocephalus recurred following positive pressure mask ventilation (PPMV) during anesthesia induction for surgery on the right arm. Recurred pneumocephalus was managed with high flow oxygen and supportive care. Anesthesiologists should be aware of pneumocephalus as a potential complication of PPMV in head trauma patients, even after resolution of previous pneumocephalus.

Chinese Head Trauma Data Bank: Effect of Hyperthermia on the Outcome of Acute Head Trauma Patients

Li, Jin; Jiang, Ji-yao
Fonte: Mary Ann Liebert, Inc. Publicador: Mary Ann Liebert, Inc.
Tipo: Artigo de Revista Científica
Publicado em 01/01/2012 EN
Relevância na Pesquisa
46.45%
Hyperthermia may accentuate the detrimental consequences of brain injury and worsen the outcome of patients with acute head trauma, especially severe traumatic brain injury (TBI). We explored the effect of different magnitudes and durations of hyperthermia in the first 3 days after injury on the outcome of 7145 patients with acute head trauma, including 1626 with severe TBI. The differences in mortality and unfavorable outcome between the normothermia group, mild fever group, moderate fever group, and high fever group were statistically significant (p<0.001). The mortality and unfavorable outcome of severe TBI patients in the groups also differed significantly (p<0.001). The mortality and unfavorable outcome of patients with 1 day, 2 days, and 3 days of high fever were significantly increased (p<0.01). Our data strongly indicate that both degree and duration of early post-trauma hyperthermia are closely correlated with the outcome of acute TBI patients, especially severely injured ones, which indicates that hyperthermia may play a detrimental role in the delayed mechanisms of damage after acute TBI. Prevention of early hyperthermia after acute head trauma is therefore essential to the management of TBI patients.

Less Is More? The Impact of Trauma Volume on the Positive Rate of Head Computed Tomography Scans in Head Trauma Patients

Chen, Chao-Wen; Lou, Yun-Ting; Chu, Chi-Ming; Lin, Hsing-Lin; Lee, Wei-Che; Ma, Ke-Zong; Cheng, Yuan-Chia; Kuo, Liang-Chi
Fonte: The Scientific World Journal Publicador: The Scientific World Journal
Tipo: Artigo de Revista Científica
Publicado em 18/06/2012 EN
Relevância na Pesquisa
46.64%
Objective. Few studies have assessed the impact of trauma volume on the operational efficiency of emergency departments. Herein, we evaluate the association between trauma volume with the positive rate of head computed tomography scans in head trauma patients in a tertiary care hospital. Methods. This is a retrospective cohort review involving all head trauma patients presenting to a tertiary care hospital. Trauma census, head trauma patient volume, the number of emergent head CT scans, and the number of positive head CT scans were collected on a monthly basis. Comparison was primarily made between the trauma patient volume and the positive rate of head CT scans. Results. 25,549 trauma patients were reviewed. Of these, 5,168 (20.2%) sustained head trauma and 3,336 head CT scans were performed with mean 29.1% positive rate of substantial head injuries. The monthly data were analyzed and a statistically significant correlation between monthly trauma volume and decrease in positive rate of head CT scan was identified (Pearson r = −0.51, P = 0.02). With introducing different cut-point values of trauma volume, we identified the threshold of trauma census as approximately 4.9 and 8.8% higher than mean monthly trauma volume in discriminating significant decrease of positive rate of head CT scans.

Emergence of conscious awareness of underlying verbal and visual rules over time in moderate closed-head trauma patients

Loganathan, Suguna
Fonte: Brock University Publicador: Brock University
Relevância na Pesquisa
56.23%
Please consult the paper edition of this thesis to read. It is available on the 5th Floor of the Library at Call Number: Z 9999.5 E38 L64 2008; The present research was undertaken to investigate the emergence of conscious awareness of underlying verbal and visual rules over time in survivors of moderate, closed-head trauma. A total of 25 adult patients participated in the study and they were measured on implicit and explicit knowledge acquisition of phonics (verbal) and visual rules. The phonics rules governed the pronunciation of 2 types of pseudowords, while the visual rules governed the classification of2 types of pseudoanimals. Participants were given the opportunity to implicitly acquire knowledge about the phonics and visual rules. After completing the implicit acquisition phase, participants were administered a test of implicit knowledge. They were implicitly asked to verbalize the knowledge acquired during the initial phase. Thereafter, a role reversal teaching phase was introduced to measure explicit knowledge of the verbal and visual rules over 10 trials. Then participants were given a posHest of implicit knowledge. This test was a measure of the effectiveness of the role reversal phase to increase explicit awareness of the verbal and visual rules. Subsequently. participants were given the opportunity to explicitly acquire knowledge of a different set of verbal and visual rules. The results indicated that moderate closed-head injured patients: (a) did not require greater trials to reach criterion for the implicit verbal rule learning condition compared to the explicit verbal rule learning condition; (b) required greater tlials to reach criterion for the implicit visual rule learning condition compared to the explicit visual rule learning condition; (c) made more errors to reach criterion in the implicit verbal task compared to the explicit verbal task; (d) made more errors to reach criterion in the implicit visual task compared to the explicit visual task; (e) performances in the implicit acquisition and testing phases of the verbal categorization task were significantly related: (f) were not able to fully repOli more of the rules over trials in the role reversal teaching phase of the implicit verbal condition; (g) seemed to acquire explicit knowledge about the visual rules govel11ing the pseudoanimals over time in the role reversal teaching phase; (h) performed better on the posttest of implicit knowledge for verbal rules compared to the pretest of implicit knowledge for the same rules: (i) conscious awareness of visual rules govel11ing the pseudoanimals did not significantly increase after the exposure to the role reversal teaching phase; (j) explicit test scores of verbal rule learning were significantly higher than thcir scores of verbal rule leal11ing from the implicit testing phase; and (k) explicit test scores of visual rule learning were significantly lower than their implicit visual test scores. The findings of this research provide valuable information worthy of future research pursuits. Offers of suggestions for prospective research are included and discussed.

Indices and Implications of Emotional Underarousal for Persons with a History of Head Trauma

Baker, Julie
Fonte: Brock University Publicador: Brock University
Tipo: Electronic Thesis or Dissertation
ENG
Relevância na Pesquisa
56.42%
We examined the role of altered emotional functioning across the spectrum of injury severity (mild head injury [MHI], moderate/severe traumatic brain injury [TBI]), its implications for social behaviours, and the effect of modifying arousal and its relation to cognitive performance. In the first study (N = 230), students with self-reported MHI endorsed engaging in socially unacceptable and erratic behaviours significantly more often than did those with no MHI. We did not find significant differences between the groups in the measure of emotional intelligence (EI); however, for students who reported a MHI, scores on the EI measure significantly predicted reports of socially unacceptable behaviours such that lower scores predicted poorer social functioning, accounting for approximately 20% of the variance. Also, the experience of postconcussive symptoms was found to be significantly greater for students with MHI relative to their peers. In the second study (N = 85), we further examined emotional underarousal in terms of physiological (i.e., electrodermal activation [EDA]) and self-reported responsivity to emotionally-evocative picture stimuli. Although the valence ratings of the stimuli did not differ between students with and without MHI as we had expected...

HEAD TRAUMA IN CHILDHOOD; TRAUMATISMO CRANIANO NA INFÂNCIA

Tude Melo, José Roberto
Fonte: Revista Brasileira de Neurologia e Psiquiatria Publicador: Revista Brasileira de Neurologia e Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 15/10/2014 POR
Relevância na Pesquisa
56.44%
Traumatic brain injury (TBI) remains a major contributor to the high rates of death and disabilities. In Brazil, despite the growing number of children and adolescents victims of TBI, few studies exist on the subject. Physical violence (including non abusive head trauma), home acidentes (as falls) and accidents of public roads stand out as the main causes of TBI. The pre hospital and hospital management should be based on established and standardized protocols that must be followed strictly. The CT-scan is the imaging method of choice for the definition and diagnosis of acute injuries resulting from head trauma. The treatment (surgical or non surgical management), will depend on the clinical exam and CT-scan findings. Concerning mortality, can reach very high values in victims of severe TBI, being higher in victims of abusive head trauma.; O trauma craniencefálico (TCE) continua sendo um dos principais responsáveis pelas elevadas taxas de morte e sequelas em suas vítimas. No Brasil, apesar do número crescente de crianças e adolescentes vítimas de TCE, existem poucos estudos sobre o tema. As agressões físicas, as quedas e os acidentes com meios de transporte se destacam como as principais causas de TCE. O atendimento e manejo pré-hospitalar e hospitalar devem ser baseados em protocolos estandardizados...

An international case-control study of adult glioma and meningioma: the role of head trauma.

Preston-Martin, S.; Pogoda, J.; Schlehofer, B.; Blettner, M.; Howe, G.; Ryan, P.; Menegoz, F.; Giles, G.; Rodvall, Y.; Choi, N.; Little, J.; Arslan, A.
Fonte: OXFORD UNIV PRESS Publicador: OXFORD UNIV PRESS
Tipo: Artigo de Revista Científica
Publicado em //1998 EN
Relevância na Pesquisa
56.47%
BACKGROUND: Increased brain tumour risk after head trauma suggested by case reports and clinical series has been previously studied epidemiologically with mixed results. An international multicentre case-control study investigated the role of head trauma from injury or sports participation in adult brain tumour risk. METHODS: In all, 1178 glioma and 330 meningioma cases were individually or frequency matched to 2236 controls. Only exposures that occurred at least 5 years before diagnosis and head injuries that received medical attention were considered. RESULTS: Risk for ever having experienced a head injury was highest for male meningiomas (odds ratio [OR] = 1.5, 95% confidence interval [CI] : 0.9-2.6) but was lower for 'serious' injuries, i.e. those causing loss of consciousness, loss of memory or hospitalization (OR = 1.2, 95% CI: 0.6-2.3). Among male meningiomas, latency of 15 to 24 years significantly increased risk (OR = 5.4, 95% CI: 1.7-16.6), and risk was elevated among those who participated in sports most correlated with head injury (OR = 1.9, 95% CI: 0.7-5.3). Odds ratios were lower for male gliomas (OR = 1.2, 95% CI : 0.9-1.5 for any injury; OR = 1.1, 95% CI: 0.7-1.6 for serious injuries) and in females in general. CONCLUSIONS: Evidence for elevated brain tumour risk after head trauma was strongest for meningiomas in men. Findings related to sports should be interpreted cautiously due to cultural variability in our data and our lack of complete data on physical exercise in general which appeared to be protective.; Susan Preston-Martin...

Étude de l'association entre la sévérité des traumatismes crâniens et les inégalités sociales.

Houngnandan, Anselme Arthur B.
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
Relevância na Pesquisa
46.5%
Introduction : La réduction des inégalités sociales de santé est un objectif de santé publique au Canada. Les liens entre les facteurs socio-économiques et les traumatismes en général ont été abondamment mesurés et illustrés notamment en pédiatrie, mais l’association entre les traumatismes crâniens et les inégalités sociales n’est pas assez investiguée dans la littérature. L’intérêt de ce travail en santé publique nous permettra de mieux connaitre les liens entre la défavorisation et les traumatismes crâniens particulièrement la sévérité. Objectif : L’objectif général de cette étude est d’examiner la relation entre les traumatismes crâniens et le statut socio-économique. Méthode : L’échantillon comprend 2269 patients ayant consulté le service d’urgence de l’Hôpital du Sacré Coeur de Montréal entre le 17 Mars 2008 et le 11 Janvier 2012, âgés de 14 ans et plus et habitant Montréal et Laval. Des analyses de régression logistiques ont été appliquées pour examiner la relation entre le quintile du statut socio-économique (mesuré à l’aide d’un proxy écologique) et la sévérité du traumatisme crânien (mesuré à l’aide de la tomodensitométrie). Résultat : A Montréal et à Laval...