Brain injury : [BI]
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Brain injury : [BI] · Jan 2018
Survival and consciousness recovery are better in the minimally conscious state than in the vegetative state.
The prognosis value of early clinical diagnosis of consciousness impairment is documented by an extremely limited number of studies, whereas it may convey important information to guide medical decisions. ⋯ Early accurate clinical diagnosis of VS/UWS or MCS conveys a strong prognostic value of survival and of consciousness recovery.
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Brain injury : [BI] · Jan 2018
Serum vitamin D deficiency in subjects with severe acquired brain injury and relationship with functional severity.
Vitamin D may be important for the development and function of the nervous system. Low serum vitamin D levels have been detected in several neurological diseases. ⋯ Subjects with sABI showed vitamin D deficiency that might correlate to disability severity. The reason is unclear and might represent a secondary phenomenon resulting from the inflammatory process.
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Brain injury : [BI] · Jan 2018
Case Reports'Thunder bolts and lightning': survival and neurorehabilitation following out of hospital cardiac arrest secondary to lightning strike.
There is a limited evidence base to inform patient management following lightning-induced injuries. ⋯ Intensive neurorehabilitation in this case improved functional independence and facilitated neuropsychological recovery, to the point that our patient was discharged to independent living. This case offers some support to the hypothesis that the electrical activity of a lightning strike can be both cardioprotective and neuroprotective, and that prolonged cardiopulmonary resuscitation is warranted in such cases.
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Brain injury : [BI] · Jan 2018
Observational StudyIncidence of paroxysmal sympathetic hyperactivity following traumatic brain injury using assessment tools.
A consensus statement proposed a diagnostic framework to systematise the identification of paroxysmal sympathetic hyperactivity (PSH) using the PSH-Assessment Measure (PSH-AM). ⋯ The recently proposed diagnostic framework may reduce misdiagnosis, length of stay and hospitalisation costs.
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Brain injury : [BI] · Jan 2018
Determining sensitivity and specificity of the Sport Concussion Assessment Tool 3 (SCAT3) components in university athletes.
To examine the clinical utility of the Sport Concussion Assessment Tool-3 (SCAT3) in university athletes with concussion in the absence and presence of baseline data over time. ⋯ The SCAT is a clinically useful tool for assessing concussion in the absence or presence of baseline data within the first 3-5 days post-injury. Clinical utility of the SCAT3 was driven by symptoms, which remains consistent in the SCAT5. Future research should explore whether additional cognitive elements in the SCAT5 improve utility beyond this timeframe.