Background: Traumatic brain injuries (TBI) represent one major cause of death worldwide. The young people are most concerned and road crash is the first etiology.
Aim: To establish the frequency, clinical, and radio-anatomical sides of TBI after road crash.
Methods: It was descriptive study performed from January 1, 2008 to June 30, 2009 in Borgou Departmental Hospital, Benin. It concerned patients admitted in ours unit four traumatic brain injuries after road crash.
Results: 274 patients answered the criteria of inclusion. They was 22, 2% of the hospitalizations in surgery unit. The mean age was 29.56 years. The age bracket most concerned was the 21- 30 years [35.8%]. The sex ratio M/F was 5.85. The initial loss of consciousness was the clinical sign more observed [89.8%]. The neurological deficits were observed in 9.8% of the cases. The severe TBI (GCS ² 8) accounted for 27.7% of the patients. Among the 110 patients [41.1%] received skull X-ray, 66 patients [50.9%] presented a vault's lesion. The cerebral scanner produced among 38 patients [13.9%] objectified lesions of the vault in 21 [55.3%] patients. The intracranial injuries were dominated by the cerebral contusions [31.6%]. Mortality was 17.5%. Among death, the 21-30 years old was 37.5%.
Conclusion: TBI admitted in CHD-Borgou are major problem. Preventives measure concerning all users may be applied.
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EClinicalMedicine
February 2025
Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, Anhui, China.
Background: Brain stimulation therapy (BST) has significant potential in treating psychiatric, movement, and cognitive disorders. Given the high prevalence of comorbidities among these disorders, we conducted an umbrella review to comprehensively assess the efficacy of BSTs in treating the core symptoms across these three categories of disorders.
Methods: We systematically searched for meta-analyses and network meta-analyses of randomized controlled trials with sham controls up to September 25, 2024, from databases including PubMed, PsycINFO, Embase, and the Cochrane Library.
Ther Clin Risk Manag
January 2025
Department of Emergency, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, 710032, People's Republic of China.
Background: Traumatic brain injury (TBI) is a major cause of morbidity and mortality, often requiring emergency department (ED) management. Integrated Nursing Interventions play a critical role in the care of TBI patients, but limited research has evaluated their efficacy in this setting. This study aims to assess the impact of Integrated Nursing Interventions on patient outcomes and complications in the ED.
View Article and Find Full Text PDFCurr Anesthesiol Rep
January 2025
Department of Anesthesiology and Pain Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA.
Purpose Of Review: We examine what is known, what is new, and what is emerging in acute neurotrauma relevant to the anesthesiologist.
Recent Findings: Timely and goal-directed care is critical for all patients requiring urgent/emergent anesthesia care. Anesthesia care for acute neurological injury should incorporate understanding the evolution of traumatic brain injury and spinal cord injury that translates to preoperative preparation, hemodynamic resuscitation, prevention of second insults, and safe transport between care settings.
Acute Med Surg
January 2025
Department of Emergency and Critical Care Medicine Institute of Medicine, University of Tsukuba Hospital Tsukuba Ibaraki Japan.
Background: Traumatic intracranial aneurysms (TICAs) can be fatal if ruptured. We report a case of a TICA, distant from facial bone fractures, successfully treated with flow diverter (FD) before rupture.
Case Presentation: A 20-year-old woman was admitted following a car accident.
Brain Inj
January 2025
Department of Physical Medicine & Rehabilitation, O'Donnell Brain Institute, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Objective: To examine the relationship between body mass index (BMI), newly developed sleep disorders and functional outcome after moderate-to-severe traumatic brain injury (msTBI).
Methods: Retrospective data from the TBI Model Systems National Database was analyzed, focusing on the independent association between BMI, sleep disorder diagnosis, and functional outcome as measured by the Extended Glasgow Outcome Scale (GOSE) at 1-year post-injury. Linear and logistic regression were used.
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