By Anish Bhardwaj, Jeffrey R. Kirsch
The medical administration of sufferers with acute mind and spinal wire damage has developed considerably with the appearance of recent diagnostic and healing modalities. Editors Bhardwaj and Kirsch provide you with administration of Acute mind and Spinal wire harm, a brand new stand-alone connection with aid brand new neurologists and neurosurgeons hold abreast of the entire contemporary developments in mind and spinal wire damage. Divided into 5 sections, mind damage, ischemic stroke, intracerebral and subarachnoid hemorrhage, tense harm and clinical administration of spinal wire accidents, this article provide you with a precis of the most up-tp-date scientific technological know-how for the scientific administration of sufferers with acute mind and spinal twine accidents.
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Extra resources for Acute Brain and Spinal Cord Injury: Evolving Paradigms and Management (Neurological Disease and Therapy)
41. Csokay A, Egyud L, Nagy L, et al. Vascular tunnel creation to improve the efficacy of decompressive craniotomy in post-traumatic cerebral edema and ischemic stroke. Surg Neurol 2002; 57(2):126–129. 42. Kontopoulos V, Foroglou N, Patsalas J, et al. Decompressive craniectomy for the management of patients with refractory hypertension: should it be reconsidered? Acta Neurochir (Wien) 2002; 144(8):791–796. 43. Skoglund TS, Eriksson-Ritzen C, Jensen C, et al. Aspects on decompressive craniectomy in patients with traumatic head injuries.
Cerebroprotective Strategies 19 score that may not reflect the true extent of injury. When a patient has an endotracheal or tracheostomy tube in place and cannot give a verbal response, a GCS score of ‘‘1’’ is given for that section, followed by a ‘‘T’’ to indicate the intubated status. GCS scores from 3 to 8 indicate severe TBI and correlate significantly with outcome; the motor score is the most reproducible and carries the most prognostic information (9). Nearly 80% of patients with an initial hospital GCS score 3 to 5 have an eventual outcome of death, severe disability, or vegetative state; patients with an initial GCS score 3 have a 65% mortality rate (9–11).
Although it is difficult to draw conclusions from a nonrandomized study with few patients, the results from this pilot study support the claim that decompression of the traumatic brain in certain circumstances may result in an increase in CBF (14). Moreover, the ability to quickly assess microvascular perfusion at the bedside may enhance the capacity to limit cerebral ischemia through improved recognition of inadequate blood flow. We await the results of larger studies that investigate this technique’s performance and impact on outcomes.
Acute Brain and Spinal Cord Injury: Evolving Paradigms and Management (Neurological Disease and Therapy) by Anish Bhardwaj, Jeffrey R. Kirsch