Naslov
Neurological deficit in severe brain trauma

Autori
Soldo-Butković, Silva ; Barac, Boško ; Jančuljak, Davor ; Prlić-Šturman, Lidija

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Annals of the year 2000 conference on brain injury / Christensen, Anne-Lise ; Willmes, K ; Braga, Lucia Willadino - Brasilia : SARAH Brasilia Hospital, 2000

Skup
The year 2000 conference on brain injury

Mjesto i datum
Brazilija, Brazil, 13.09.2000. - 16.09.2000

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
neurological deficit; brain trauma

Sažetak
Objective/Methodology: We applied the European Brain Injury Society (EBIS) questionnaire to 20 male patients (aged 18 to 46 years) with severe head and brain trauma to assess their neurological deficit and functional impairment after the treatment. 14 of our patients were wounded during military activities in the Croatian Defensive War (1991 to 1995), and the rest in the civilian (mostly car) accidents. In 13 cases the brain injury was of an open type with skull fractures. The brain damage was evaluated after neuroimaging: in12 cases there were signs of focal brain damage, in one case of diffuse type lesion and in 5 cases a combined lesion. The injuries were localized mainly in the frontal brain region. Results: The mean duration of acute treatment was 71 days (range 17 to 300) and mean rehabilitation period lasted 253 days (range 0 to 720). Most of the patients (75%) were operated by a neurosurgeon in the acute period. We observed following complications during the treatment of brain injuries: post-traumatic seizures in 9 cases (7 generalized, 1 focal, and 1 combined) after the first week of head trauma, 3 cases of meningitis, and 2 cases of urinary infections. The functional handicap of patients was caused mostly by the central motor neuron impairment: 7 cases of mild to moderate hemiparesis, 3 cases of severe hemiparesis and 2 cases of paraparesis. The following neurological deficit contributed to further functional impairment: chronic pain in 10 patients, gait disorder (9 cases), spasticity (5 cases), visual impairment (5 cases), hearing loss (5 cases), and peripheral paresis in one case. The most affected activity of daily life was car driving (in 15 cases), followed by problems in public transportation (in 8 cases). The mobility within residency was also a problem for 7 patients. Communication skills and earning capacity were impaired in 7 patients. The basic activities of daily life were less affected: grooming (6), dressing (6), immediate transfer (6), feeding (5), and bladder control (2). Conclusion: Early assessment of neurological deficit may indicate a possible functional handicap in patients with severe brain trauma. Adequate and continuos rehabilitation measures are indispensable in order to improve the functional abilities and quality of daily living in those patients.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA