engleski

Results of neurologic rehabilitation in patients with severe craniocerebral injury

According to WHO definition, rehabilitation is a process during which functional disturbances are reduced to minimum, if impossible to remove them completely Current achievemen-ts in the neurologic science and sophisticated technologies al-low planning of the process of recovery of nervous structures and restitution of nervous functions, with minimal possibility of permanent sequelae in the intellectual and sensorimotor sphe-re, which requires close, continuous collaboration of all specialists involved in the treatment. Rehabilitation of patients with craniocerebral injury is a spe-cific problem because of the complex management of the neu-rologic and possible psychologic deficiency Before the war in Croatia 0991), traffic accidents with mostly closed craniocere-bral trauma prevailed in Croatia, like in most other countries. However, from June 1991 till December 1992, i.e. during the period of most extensive war actions in Croatia, patients with severe, open dead injuries inflicted by mines and other explosi-ve devices and gunshot wounds predominated in our hospital. Thirty-three patients, 31 soldiers and two civilians, with se-vere craniocerebral injury, wounded and treated in the region of the Osijek-Baranya county, were analyzed. In 25 cases, the wounds were inflicted by mines and other explosive devices ; and in eight cases by firearms. All these patients were imme-diately managed at the Department of Traumatology and Neu-rosurgery, and were subsequently treated at the Department of Neurology, Osijek University Hospital. Retrograde analysis of 4-year medical records, from the moment of wounding, revea-led very favourable results concerning both residual neurologic disturbances and psychic state. Early and functionally orien-ted neurosurgical treatment, and continuous care provided by a team consisting of a neurosurgeon, surgeon, anesthesiolo-gist, physiatrist and neurologist, with inclusion of family mem-bers, are considered to play a crucial role in this process.

neurology; rehabilitation; craniocerebral injury

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