Brain injury : [BI]
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Brain injury : [BI] · Apr 2006
ReviewMetabolism and nutrition in patients with moderate and severe traumatic brain injury: A systematic review.
To examine the evidence on the metabolic state and nutritional treatment of patients with moderate-to-severe traumatic brain injury (TBI). ⋯ The impact of timing, content and ways of administration of nutritional support on neurological outcome after TBI remains to be demonstrated.
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Brain injury : [BI] · Mar 2006
Brain atrophy and cognitive impairment in survivors of Acute Respiratory Distress Syndrome.
Acute Respiratory Distress Syndrome (ARDS) is characterized by severe acute lung injury, hypoxemia and is associated with neurological and cognitive impairments. This study assessed quantitative brain and ventricular volumes in survivors of ARDS with brain computed tomography (CT) scans compared to normal controls. It also compared the medical and cognitive outcome data of patients with ARDS with and without CT scans. ⋯ Clinicians need to be aware that ARDS can cause significant long-term brain-related morbidity manifest by brain atrophy, lesions and neurocognitive impairments.
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Brain injury : [BI] · Feb 2006
ReviewMild traumatic brain injury and anxiety sequelae: a review of the literature.
There is scattered but significant psychological and neuropsychological evidence to suggest that mild traumatic brain injury (mild TBI) plays a notable role in the emergence and expression of anxiety. Conversely, there is also empirical evidence to indicate that anxiety may exert a pronounced impact on the prognosis and course of recovery of an individual who has sustained a mild TBI. ⋯ Overall, the mild TBI research is rife with inconsistencies concerning prevalence rates, the magnitude and implications of this issue and, in the case of PTSD, even whether certain diagnoses can exist at all. This review obviates the need for greater consistencies across studies, especially between varying disciplines, and calls for a shift from studies overly focused on categorical classification to those concerned with dimensional conceptualization.
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Brain injury : [BI] · Feb 2006
Case ReportsPost-anoxic myoclonus: a case presentation and review of management in the rehabilitation setting.
Post-anoxic myoclonus is a rare movement disorder manifested by diffuse action-triggered jerking movements that may result in significant disability. The incidence of this disorder is not clearly established, but over 122 cases have so far been reported in the literature. The pathogenesis is not entirely known, although it has been hypothesized that particular susceptibility of the Purkinje cells of cerebellum to anoxic injury may play a key role. ⋯ The patient initially responded to a combination of divalproex sodium and zonisamide, but relapsed in several weeks, requiring addition of levetriacetam and clonazepam. At a 1-year follow-up she demonstrated a significant improvement in ambulation and self-care activities. This case illustrates that, although patients with post-anoxic myoclonus cannot be fully cured, their quality of life can be significantly improved by rehabilitation interventions.
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Brain injury : [BI] · Feb 2006
Is there a relationship between whiplash-associated disorders and concussion in hockey? A preliminary study.
To examine the relationship between the occurrence of whiplash-associated disorders and concussion symptoms in hockey players. ⋯ There is a strong association between whiplash induced neck injuries and the symptoms of concussion in hockey injuries. Both should be evaluated when dealing with athletes/patients suffering from either injury.