Indian Journal of Neurotrauma最新文献_第10页

Contusion Index is an Important Tool for the Management of Traumatic Intracerebral Hematoma 挫伤指数是创伤性脑内血肿治疗的重要指标

IF 0.2

Indian Journal of Neurotrauma Pub Date : 2021-07-03 DOI: 10.1055/s-0041-1727293

A. Khaliq, Mumtaz Ali, F. Azam, Nayab Gul, B. Chaurasia

{"title":"Contusion Index is an Important Tool for the Management of Traumatic Intracerebral Hematoma","authors":"A. Khaliq, Mumtaz Ali, F. Azam, Nayab Gul, B. Chaurasia","doi":"10.1055/s-0041-1727293","DOIUrl":"https://doi.org/10.1055/s-0041-1727293","url":null,"abstract":"Abstract Objective This article evaluates outcome of traumatic intracerebral hematomas in terms of Glasgow Coma Scale (GCS) after medical or surgical management according to contusion index. Materials and Methods This descriptive study was conducted in the Department of Neurosurgery, Lady Reading Hospital, Peshawar, Pakistan from January 2017 to December 2018. Total number of patients with traumatic intracerebral contusions included in this study was 60 with age between 5 and 75 years. Both male and female were included. Patients with other coexisting traumatic intracranial hematomas like extradural hematoma, subdural hematoma, and polytrauma were excluded from this study. Contusion index of patients were calculated by noncontrast-enhanced computed tomography brain. On arrival patient GCS was documented. The management protocol, that is, conservative or surgical, was provided to individual patient according to contusion index as calculated. Outcome of management was assessed in terms of GCS. Results Patients with contusion index of 0 to 4 were managed conservatively. Patients with contusion index of 6 were offered surgical management. Patients with contusion index of 9 had poor outcome with both conservative and surgical management. Conclusion Contusion index can be used reliably as a tool for management of isolated traumatic intracerebral hematomas","PeriodicalId":43198,"journal":{"name":"Indian Journal of Neurotrauma","volume":"2 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72984787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical and Laboratory Markers in Determination of Treatment Modalities and Short-Term Prognosis in Patients with Traumatic Acute Subdural Hematoma: Original Study 外伤性急性硬膜下血肿患者治疗方式和短期预后的临床和实验室标志物:原始研究

IF 0.2

Indian Journal of Neurotrauma Pub Date : 2021-06-08 DOI: 10.1055/s-0041-1739475

B. Bakar, Ulaş Yuksel, Alemiddin Ozdemir, İ. Bulut, Mustafa Ogden

{"title":"Clinical and Laboratory Markers in Determination of Treatment Modalities and Short-Term Prognosis in Patients with Traumatic Acute Subdural Hematoma: Original Study","authors":"B. Bakar, Ulaş Yuksel, Alemiddin Ozdemir, İ. Bulut, Mustafa Ogden","doi":"10.1055/s-0041-1739475","DOIUrl":"https://doi.org/10.1055/s-0041-1739475","url":null,"abstract":"Abstract Objective In patients with traumatic acute subdural hematoma (ASH), it has not been yet fully elucidated which patients can benefit from surgery or from clinical follow-up. This study was constructed to predict treatment modality and short-term prognosis in patients with ASH using their clinical, radiological, and biochemical laboratory findings during admission to hospital. Methods Findings of patients with ASH determined on their CT scan between 2015 and 2018 were evaluated. Patients were grouped in terms of ASH-FOL (patients followed-up without surgery, n = 13), ASH-OP (patients treated surgically, n = 10), and ASH-INOP (patients considered as inoperable, n = 5) groups. They also were divided into “survived ( n = 14)” and “nonsurvived ( n = 14)” groups. Results ASH developed as a result of fall from a height in 15 patients and traffic accidents in 13 patients. In deciding for surgery, it was determined that Glasgow coma scale (GCS) scores < 8, midline shift (MLS) level > 5 mm, MLS-hematoma thickness ratio > 0.22, leukocyte count > 12730 uL, and presence of anisocoria could be used as predictive markers. It was determined that GCS scores < 8, hematoma thickness value > 8 mm, and the presence of anisocoria could be considered as biomarkers in prediction of mortality likelihood. Conclusion It could be suggested that GCS scores, MLS level, MLS-hematoma thickness ratio, presence of anisocoria, and leukocyte count value could help in determination of the treatment modality in patients with ASH. Additionally, GCS scores, hematoma thickness value, and presence of anisocoria could each be used as a marker in the prediction of early-stage prognosis and mortality likelihood of these patients.","PeriodicalId":43198,"journal":{"name":"Indian Journal of Neurotrauma","volume":"6 1","pages":"089 - 100"},"PeriodicalIF":0.2,"publicationDate":"2021-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89299135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post-Traumatic Subfrontal with Orbital Extradural Hematoma and Proptosis (Unusual Presentation Managed with Needle Aspiration) A Case Report with Review of Literature 创伤后额下眶硬膜外血肿及突出(用针吸治疗的不寻常表现)1例并文献复习

IF 0.2

Indian Journal of Neurotrauma Pub Date : 2021-06-01 DOI: 10.1055/s-0041-1725572

S. Raj, P. Chouksey, Adesh Shrivastava, Rakesh Mishra, M. Prakash, A. Agrawal

引用次数: 0

A Study to Assess the Awareness and Practices of Helmet Use among Two-Wheeler Riders in Delhi 一项评估德里两轮车骑手头盔使用意识和实践的研究

IF 0.2

Indian Journal of Neurotrauma Pub Date : 2021-05-10 DOI: 10.1055/s-0041-1739477

Milan Tirwa, P. Joshi, A. Sinha, Yangchen Dolma, Manihar Singh

{"title":"A Study to Assess the Awareness and Practices of Helmet Use among Two-Wheeler Riders in Delhi","authors":"Milan Tirwa, P. Joshi, A. Sinha, Yangchen Dolma, Manihar Singh","doi":"10.1055/s-0041-1739477","DOIUrl":"https://doi.org/10.1055/s-0041-1739477","url":null,"abstract":"Abstract Objectives To assess the awareness and practice of two-wheeler riders regarding the helmet use, and to determine the association of awareness and practices with selected variables. Setting and Design This article is a descriptive survey, which was completed at All India Institute of Medical Sciences (AIIMS) premises, New Delhi, India. Materials and Methods The pretested and validated tools developed by researcher consisted of demographic sheet (8 items) along with structured awareness and practice questionnaire. Results and Conclusions Maximum participants were male (71.06%) with majority riding for 8 years. As much as 48% of the sample population had accidents while driving. Only 2.9% of them reported to have sustained severe injury during these accidents. The mean awareness and practice score related to helmet use were 49.58 ± 6.019.75 ± 5.56. There was weak correlation between awareness and practice. Association of awareness and practices with selected variables could not be observed ( p -value—0.4870). Although public awareness is present, but law needs to be more stringent. Accidents are fatal and it can happen anywhere and anytime, irrespective of long or short distance, and wearing of helmet can save a person from major injuries.","PeriodicalId":43198,"journal":{"name":"Indian Journal of Neurotrauma","volume":"22 1","pages":"024 - 028"},"PeriodicalIF":0.2,"publicationDate":"2021-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75164653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of COVID-19 Pandemic during the Lockdown on the Traumatic Brain Injury—An Institutional Experience 封锁期间COVID-19大流行对创伤性脑损伤的影响——一项机构经验

IF 0.2

Indian Journal of Neurotrauma Pub Date : 2021-04-15 DOI: 10.1055/s-0041-1725569

N. Nayak, Prashant Singh, Raghvendra Sharma, S. Gupta, C. Gandhoke, A. Sharma

{"title":"Impact of COVID-19 Pandemic during the Lockdown on the Traumatic Brain Injury—An Institutional Experience","authors":"N. Nayak, Prashant Singh, Raghvendra Sharma, S. Gupta, C. Gandhoke, A. Sharma","doi":"10.1055/s-0041-1725569","DOIUrl":"https://doi.org/10.1055/s-0041-1725569","url":null,"abstract":"Abstract Background Traumatic brain injuries (TBIs) contribute to a significant socioeconomic impact, primarily affecting the lower-income sections of the society. The COVID-19 pandemic has resulted in a marked reduction in in-patient attendance. We are highlighting the impact of lockdown in neurotrauma cases in our institution compared to the prelockdown period. Methods We have done the retrospective review of the patients admitted due to TBI in prelockdown (January 14–March 21, 2020) and lockdown period (March 25–May 31, 2020) for the same duration of the 68 days at our tertiary institution. We have included demographic characteristics (age, sex), mode of injury, the severity of TBI, radiological diagnosis (computed tomography scan), and treatment obtained in our study. We compared the data for percentage (%) reduction of TBI cases and factors responsible for it during the lockdown period. Result A total of 166 patients were included in both groups. TBI’s most common mechanism was road traffic accident, but we observed an increase in self-fall (16.9% vs. 38.1%) and assault (11.2% vs. 19%) during the lockdown period. We have noted that moderate TBI increased during the lockdown period by 17%. Overall, there is a reduction of 67% in TBI cases during the lockdown period. Conclusion The COVID pandemic has limited road traffic activity, and strict implementation of lockdown has restricted the infection and has reduced the neurotrauma emergencies. Simultaneously, moderate TBI cases have increased because of the lack of transportation facility and delay in the management of mild TBI cases.","PeriodicalId":43198,"journal":{"name":"Indian Journal of Neurotrauma","volume":"11 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85252420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Computed Tomographic Morphometry of Lumbar Spine in Indian Population 印度人群腰椎的计算机断层形态测量

IF 0.2

Indian Journal of Neurotrauma Pub Date : 2021-04-15 DOI: 10.1055/s-0041-1725568

Vivek Singh, S. Prasad, Z. Neyaz, N. Bhargava, Uttam Yadav, A. Srivastav, P. Mishra, R. Phadke

{"title":"Computed Tomographic Morphometry of Lumbar Spine in Indian Population","authors":"Vivek Singh, S. Prasad, Z. Neyaz, N. Bhargava, Uttam Yadav, A. Srivastav, P. Mishra, R. Phadke","doi":"10.1055/s-0041-1725568","DOIUrl":"https://doi.org/10.1055/s-0041-1725568","url":null,"abstract":"Abstract Purpose Several studies have been conducted to determine morphometry of lumbar vertebrae, mostly in western population and data on other populations is relatively sparse. Most of these studies have been carried out using fresh cadavers or osteological collections and several of them having limitations such as a small sample size and lack of demographic information. We conducted morphometric analysis of the lumbar vertebrae in a relatively large number of Indian patients using computed tomography scan. Vertebral body and pedicle dimensions of lumbar spinal elements were documented in Indian population and compared with other studies from the subcontinent as well as from other parts of the world. The morphometric data thus compiled may help in the development of new spinal implants for transpedicular screw fixations. Methods An observational study was conducted and a total of 302 patients were evaluated. Thin section computed tomographic images of the 12th thoracic vertebra (D12) to 1st sacral vertebra (S1) were acquired and various dimensions of vertebral body and pedicle were recorded and analyzed. Results Generally, the lumbar vertebral and pedicle dimensions were found to be greater in male patients. Comparison of dimensions in different populations revealed statistically significant differences in pedicle dimensions between Indian population and others. Conclusion Morphometric analysis of lumbar vertebrae using computed tomography scan provides measurements of different vertebral dimensions. This will help in development of spinal implants in future to meet the specific needs of the studied population.","PeriodicalId":43198,"journal":{"name":"Indian Journal of Neurotrauma","volume":"31 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86457875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Neuropsychological and Linguistic Outcomes after Gunshot Injury to Cerebellum: A Case Report 小脑枪伤后的神经心理学和语言预后:1例报告

IF 0.2

Indian Journal of Neurotrauma Pub Date : 2021-04-15 DOI: 10.1055/s-0041-1727294

M. Afsar, K. Darshini, D. Shukla, V. Vandana, J. Rajeswaran

{"title":"Neuropsychological and Linguistic Outcomes after Gunshot Injury to Cerebellum: A Case Report","authors":"M. Afsar, K. Darshini, D. Shukla, V. Vandana, J. Rajeswaran","doi":"10.1055/s-0041-1727294","DOIUrl":"https://doi.org/10.1055/s-0041-1727294","url":null,"abstract":"Abstract Craniocerebral gunshot injuries (CGIs) are highly fatal and mostly seen in the military settings. CGIs to the posterior cortical regions and cerebellum in civilian population are uncommon. Cerebellum once thought to be mediating the motor and vestibular functions is increasingly seen as an important structure for human cognition and affect. We present a case of a 53-year-old police inspector who sustained a gunshot injury in the suboccipital region with resulting damage to predominantly left cerebellum and right occipital lobe. Patient presented with complaints of neck pain, reduced clarity of speech, and mild forgetfulness for day-to-day affairs after 7 months of injury. A comprehensive neuropsychological assessment revealed impairments in motor speed, processing speed, sustained attention, executive functions (verbal fluency, working memory), and encoding component of memory functions. The speech–language assessment revealed mild dysarthria and mild word finding difficulties. His profile with mild to moderate deficits in neuropsychological and speech language functioning was partly congruent with the cerebellar cognitive affective syndrome or Schmahmann’s syndrome. The spontaneous recovery and extent of damage to cerebellum may explain the milder form of the syndrome. The case highlights the need to routinely screen for cognitive-affective disturbances in patients with traumatic lesions to cerebellum.","PeriodicalId":43198,"journal":{"name":"Indian Journal of Neurotrauma","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83990866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictive Value of Rotterdam Score and Marshall Score in Traumatic Brain Injury: A Contemporary Review 鹿特丹评分和马歇尔评分对外伤性脑损伤的预测价值:当代回顾

IF 0.2

Indian Journal of Neurotrauma Pub Date : 2021-04-15 DOI: 10.1055/s-0041-1727404

Rakesh Mishra, H. Ucrós, W. Florez-Perdomo, Jose Antonio Rojas Suarez, L. Moscote-Salazar, M. Rahman, A. Agrawal

{"title":"Predictive Value of Rotterdam Score and Marshall Score in Traumatic Brain Injury: A Contemporary Review","authors":"Rakesh Mishra, H. Ucrós, W. Florez-Perdomo, Jose Antonio Rojas Suarez, L. Moscote-Salazar, M. Rahman, A. Agrawal","doi":"10.1055/s-0041-1727404","DOIUrl":"https://doi.org/10.1055/s-0041-1727404","url":null,"abstract":"Abstract This article conducts a contemporary comparative review of the medical literature to update and establish evidence as to which framework among Rotterdam and Marshall computed tomography (CT)-based scoring systems predicts traumatic brain injury (TBI) outcomes better. The scheme followed was following the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for literature search. The search started on August 15, 2020 and ended on December 31, 2020. The combination terms used were Medical Subject Headings terms, combination keywords, and specific words used for describing various pathologies of TBI to identify the most relevant article in each database. PICO question to guide the search strategy was: “what is the use of Marshall (I) versus Rotterdam score (C) in TBI patients (P) for mortality risk stratification (O).” The review is based on 46 references which included a full review of 14 articles for adult TBI patients and 6 articles for pediatric TBI articles comparing Rotterdam and Marshall CT scores. The review includes 8,243 patients, of which 2,365 were pediatric and 5,878 were adult TBI patients. Marshall CT classification is not ordinal, is more descriptive, has better inter-rater reliability, and poor performance in a specific group of TBI patients requiring decompressive craniectomy. Rotterdam CT classification is ordinal, has better discriminatory power, and a better description of the dynamics of intracranial changes. The two scoring systems are complimentary. A combination of clinical parameters, severity, ischemic and hemodynamic parameters, and CT scoring system could predict the prognosis of TBI patients with significant accuracy. None of the classifications has good evidence for use in pediatric patients.","PeriodicalId":43198,"journal":{"name":"Indian Journal of Neurotrauma","volume":"27 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86596485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Management of Traumatic Brain Injury in Pregnancy: Simultaneous Craniectomy and Cesarean Section Surgeries 妊娠期外伤性脑损伤的处理:同时开颅和剖宫产手术

IF 0.2

Indian Journal of Neurotrauma Pub Date : 2021-04-15 DOI: 10.1055/S-0041-1727405

Edgar Gomez-Rhenals, Md Moshiur Rahman, L. Moscote-Salazar, E. García-Ballestas, William A Florez, A. Agrawal

引用次数: 0

Chronic Epidural Hematoma: Still a Rare Entity? 慢性硬膜外血肿:仍然罕见吗?

IF 0.2

Indian Journal of Neurotrauma Pub Date : 2021-04-15 DOI: 10.1055/s-0041-1727555

M. Banga, B. Sandeep, Sourabh Dixit

{"title":"Chronic Epidural Hematoma: Still a Rare Entity?","authors":"M. Banga, B. Sandeep, Sourabh Dixit","doi":"10.1055/s-0041-1727555","DOIUrl":"https://doi.org/10.1055/s-0041-1727555","url":null,"abstract":"Abstract Introduction Extradural hematoma diagnosed more than 14 days after head injury is classified as a chronic extradural hematoma (CEDH). In the present study, we presented a series of 8 patients with CEDH in a span of 6 months. Materials and Methods In this article, we reported 8 cases of CEDH who presented to Nil Ratan Sircar Medical College, Kolkata, West Bengal, India, within a span of 6 months. Discussion Extratemporal epidural hematomas (EDHs) are often due to venous bleeding from the diploic veins or dural sinuses or to delayed rupture of a middle meningeal pseudoaneurysm. In these cases, cerebrospinal fluid may redistribute from the lateral ventricles and thus allowing room for the enlarging hematoma producing vague neurological symptoms and signs. The incidence rate of CEDH reported in the literature ranges from 3.9 to 30% of all EDHs. Computed tomography (CT) scan in CEDH often shows a low-density center surrounded by a high-density margin. Calcification of the displaced dura mater may also occur. Some are identified incidentally, whereas others are diagnosed when investigating for persistent and/or progressive neurological symptoms. Symptomatic CEDH should be surgically evacuated and has an excellent outcome the earlier it is done. In patients with no or mild symptoms, normal neurological status, and a small-sized CEDH spontaneous resolution may be expected. Conclusion In the post-CT era, it is always said that CEDH is a rare entity. However, in developing countries we still encounter a large number of such cases and the question arises whether CEDH is still a rare entity.","PeriodicalId":43198,"journal":{"name":"Indian Journal of Neurotrauma","volume":"10 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75460422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2