By Harvey S. Levin, Howard M. Eisenberg, Arthur L. Benton
Regardless of large documentation of postconcussion indicators, the sequelae of gentle head damage haven't been absolutely preferred until eventually fresh years. This publication presents the 1st accomplished dialogue of present advances within the figuring out, therapy, and administration of light head harm. In a lucid style, the individuals speak about neurosurgical ideas and neurobehavioral end result in adults and youngsters, neuroimaging and neurophysiological equipment of research, experimental types, activities accidents, and psychosocial and epidemiological facets. leading edge courses to mitigate incapacity after light head harm are awarded by way of the physicians and psychologists who built them, and the connection among psychosocial results and postconcussional lawsuits and neuropsychological sequelae is mentioned. updated and complete, this e-book might be useful to clinicians and investigators in neurology, neurosurgery, neuropsychology, and rehabilitation medicine.
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Extra resources for Mild Head Injury
Eighty-five percent of all mildly brain-injured patients seen in hospitals have either a concussion or another intracranial injury. However, 15% of these mildly brain-injured patients with a Glasgow Coma Score of 13-15 were diagnosed as having a contusion, laceration, or hemorrhage of the brain. It may be that the diagnoses for these cases may be incomplete or inaccurate. It is difficult to believe that a patient diagnosed with a GCS of 13 or 14 and with a contusion or hemorrhage would have been discharged from the hospital in two to four days, yet, for purposes of this study, we abstracted verbatim not only the Glasgow Coma Score, but the actual diagnoses as recorded in the medical record.
Microscopic lesions in the brain following head injury. J Neurol Neurosurg Psychiatry 21:299-306, 1968. Rimel RW. A prospective study of patients with central nervous system trauma. J Neurosurg Nurs 13:132-141, 1981. Rimel RW, Girodani B, Barth JT, Boll TJ, Jane JA. Disability caused by minor head injury. Neurosurgery 9:221-228, 1981. Rutherford W, Merrett J, McDonald J. Sequelae of concussion caused by minor head injury. Lancet 1:1-4, 1977. Symonds C. Concussion and its sequelae. Lancet 1:1-5, 1962.
The International Classification of Diseases (ICD) coding is unhelpful, not only because the terms used are ill-defined but also because there is wide variation in how they are used (Jennett and Teasdale, 1981). Some institutions code most mild injuries as concussion (No. 850); others prefer "unspecified intracranial injury" (No. 854); yet others use "unqualified skull fracture" (No. 803) without any serious regard to whether or not a fracture was diagnosed. The inclusion of patients with injuries limited to the face inflates some statistics.
Mild Head Injury by Harvey S. Levin, Howard M. Eisenberg, Arthur L. Benton