Brain injury : [BI]
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Brain injury : [BI] · Jan 2013
Review Case ReportsSkull stab wound from a metal railroad nail perforating the right frontal lobe.
Case report and review of literature. ⋯ Skull and brain stab wound lesions are highly infrequent, but evaluating the mechanism of injury and the successful medical and surgical treatment employed is illustrative of how post-traumatic recovery of this severe head injury can be achieved. The site of the injury and the position of the object were decisive for establishing an adequate diagnosis and prognosis. The patient reported an exemplary recovery without any secondary complications.
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Brain injury : [BI] · Jan 2013
Review Meta AnalysisMeta-analysis of Glasgow coma scale and simplified motor score in predicting traumatic brain injury outcomes.
To perform a systematic review and meta-analysis to compare the simplified motor score (SMS) and Glasgow Coma Scale (GCS) in predicting outcomes in patients with traumatic brain injury (TBI). ⋯ In patients with TBI, SMS predicts different outcomes with similar accuracy as GCS except mortality. However, due to heterogeneity and limited numbers of studies, further prospective studies are required.
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Brain injury : [BI] · Jan 2013
Randomized Controlled TrialEffect of COMT Val158Met genotype on attention and response to methylphenidate following traumatic brain injury.
To investigate whether COMT Val158Met allele status was associated with (i) attentional performance and (ii) response to methylphenidate (MP) following traumatic brain injury (TBI). ⋯ COMT allele status was not strongly associated with attentional performance or response to MP in the TBI sample. The met/met group, whilst performing slowly, had relatively preserved strategic control of attention.
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Brain injury : [BI] · Jan 2013
Clinical TrialEvaluating the impact of treatment for sleep/wake disorders on recovery of cognition and communication in adults with chronic TBI.
To longitudinally examine objective and self-reported outcomes for recovery of cognition, communication, mood and participation in adults with traumatic brain injury (TBI) and co-morbid post-traumatic sleep/wake disorders. ⋯ These results add to a small but growing body of evidence that sleep/wake disorders associated with TBI exacerbate trauma-related cognitive, communication and mood impairments. Treatment for sleep/wake disorders may optimize recovery and outcomes.
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Brain injury : [BI] · Jan 2013
Comparative Study Controlled Clinical TrialEffects of dexmedetomidine on cerebral blood flow in critically ill patients with or without traumatic brain injury: a prospective controlled trial.
To examine the effect of dexmedetomidine on CBF in critical ill patients with or without TBI. ⋯ Dexmedetomidine may be used in patients with TBI without risk of affecting brain oxygenation.