Publications by authors named "Gervais Charles"

Low-velocity orbital penetrating injuries may result in an intracranial retained foreign body that requires surgical removal. We describe the endoscopic transorbital removal of a retained umbrella tip in the frontal lobe, which was secondary to trauma to the orbital roof. This technique facilitated the complete removal of the foreign body without causing additional damage to the surrounding tissue.

View Article and Find Full Text PDF

Objective: The aim of this study was to conduct a scoping review to determine the nature, variety, and volume of empirical evidence on nonpharmacological interventions for sleep disturbances with potential implications for fatigue in adults sustaining a traumatic brain injury (TBI).

Methods: A systematic literature search was conducted across four databases to identify primary studies testing a single non-pharmacological intervention or a combination of non-pharmacological interventions for sleep disturbances and fatigue in community-dwelling adults with TBI.

Results: Sixteen studies were reviewed addressing six non-pharmacological interventions for sleep disruptions and fatigue after TBI including light therapy, cognitive-behavioral therapy, warm footbath application, shiatsu, and sleep hygiene protocol.

View Article and Find Full Text PDF
Article Synopsis
  • Adults with traumatic brain injury (TBI) often experience sleep disturbances during recovery, particularly while hospitalized, but the factors affecting their sleep are not well understood.* -
  • A review of 30 studies showed that hospitalized TBI patients typically get less than the recommended 7-9 hours of sleep per night and are disrupted by both internal factors (like injury severity and medication) and external factors (like noise and light).* -
  • The findings highlight a growing recognition of sleep issues in this population, but there are still many gaps in the research that need further exploration.*
View Article and Find Full Text PDF

The healthy conscious brain is thought to operate near a critical state, reflecting optimal information processing and high susceptibility to external stimuli. Conversely, deviations from the critical state are hypothesized to give rise to altered states of consciousness (ASC). Measures of criticality could therefore be an effective way of establishing the conscious state of an individual.

View Article and Find Full Text PDF

An 18-year-old man presented with altered mental status. He was found to have diabetic ketoacidosis. Chest X-ray showed pneumomediastinum.

View Article and Find Full Text PDF