Brain injury : [BI]
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Brain injury : [BI] · Jan 2014
Comparative StudyInterpretation of magnetic resonance imaging in the chronic phase of traumatic brain injury: what is missed in the original reports?
To find eventual differences in detecting the late stage TBI findings in MRI between two neuroradiologists and to compare the results with the original reports. ⋯ The interpretation of TBI findings in late stage MRI yields significant variability between neuroradiologists. This may endanger diagnostics and lead to false treatment decisions and medico-legal problems. Standardized quantitative imaging analysis programs and advances in MRI technology should be utilized to improve radiological TBI diagnosis.
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Brain injury : [BI] · Jan 2014
Incidence of hospital-admitted severe traumatic brain injury and in-hospital fatality rates in a Pacific Island country: a 5-year retrospective study.
Epidemiology of severe traumatic brain injury (TBI) is poorly defined in the Pacific region, including in New Caledonia. The aim of this study was to assess the incidence, causes and outcome of hospital-admitted severe TBI in the whole population of New Caledonia. ⋯ The high incidence of hospital-admitted patients with severe TBI in this study combined with high in-ICU mortality rates supports the need for targeted public health action to prevent assaults and traffic road accidents in this vulnerable population.
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Brain injury : [BI] · Jan 2014
Clinical correlations of proton magnetic resonance spectroscopy findings in acute phase after mild traumatic brain injury.
Standard brain magnetic resonance imaging (MRI) is typically normal in most patients after mild traumatic brain injury (MTBI). Proton magnetic resonance spectroscopy (¹H-MRS) is more sensitive to detect subtle post-traumatic changes. The aim of the study was to evaluate the clinical correlations of these changes in the acute phase (within 3 days) after MTBI. ⋯ This study found a correlation of ¹H-MRS metabolite changes with cognitive decline and presence or absence of loss of consciousness in the acute phase after MTBI.
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Brain injury : [BI] · Jan 2014
Admission glucose and coagulopathy occurrence in patients with traumatic brain injury.
Coagulopathy after traumatic brain injury (TBI) is a frequent event and is associated with patients' prognosis. TBI is also associated with a stress response that includes hyperglycemia. This study investigated if coagulopathy occurrence is associated with admission blood glucose levels in patients with TBI. ⋯ Coagulopathy frequently occur after TBI. Patients with lower GCS score and lower haemoglobin levels and increased blood glucose levels at admission are at greater risk.
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Brain injury : [BI] · Jan 2014
Acute and longitudinal changes in motor cortex function following mild traumatic brain injury.
To evaluate excitability and inhibition of the motor cortex acutely and longitudinally following mild traumatic brain injury (mTBI). ⋯ mTBI appeared to have little effect on cortical excitability, but an acute and long-lasting effect on intra-cortical inhibition.