183 results match your criteria: "Post Head Injury Autonomic Complications"

Rare Case of Post-Traumatic Abducens-Oculomotor Nerve Synkinesis Exhibiting Unusual Ocular Motility.

Am J Case Rep

October 2024

Department of Ophthalmology, College of Medicine, Qassim University, Buraydah, Saudi Arabia.

Article Synopsis
  • Acquired synkinesis happens when nerves that control eye movements get messed up after an injury, causing strange eye movements.
  • This report tells the story of a 21-year-old man who had a severe car accident, leading to unusual eye movement problems.
  • Doctors found that the 6th and 3rd cranial nerves were connected in a weird way, which is really rare, and this happened because of the nerve damage from the accident.
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During thyroidectomy, both needle electrodes (NE) and endotracheal tube electrodes (ETE) can be used. Incomplete contact of the endotracheal tube electrode with the vocal cords, endotracheal tube electrode may hinder an optimal outcome and even result in an inability to obtain an electromyography wave while neuromonitoring the external branch of the superior laryngeal nerve (EBSLN). There is no study that compares NE and ETE for EBSLN monitoring.

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Is trans-thyroid cartilage monitoring as good as endotracheal tube monitoring during thyroidectomy?

Eur Arch Otorhinolaryngol

October 2024

Department of Otolaryngology, Head and Neck Surgery, Meir Medical Center, 59 Tchernichovsky St, Kfar Saba, 4428164, Israel.

Article Synopsis
  • The study aimed to see if a new way of monitoring nerves during thyroid surgeries was just as good and safe as the usual method using an endotracheal tube.
  • They looked at 51 surgeries and found that the new method showed higher signals for certain nerves and no problems occurred when using it.
  • Overall, both methods worked similarly well, and the new monitoring technique could be a safe option for doctors during these operations.
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Article Synopsis
  • There was a study to see if a drug called MaxiPost could cause migraine-like headaches in people who have persistent headaches after a brain injury.
  • The study involved 21 adults with these headaches, and they received either the drug or a placebo (a fake treatment that doesn't do anything) during two separate sessions.
  • Results showed that more people developed migraine-like headaches after taking MaxiPost compared to the placebo, suggesting that this drug opens certain channels in the brain that might trigger headaches.
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Article Synopsis
  • The study looked at how different surgery methods for jaw fractures might affect the facial nerve function after surgery.
  • It was done at a hospital with patients aged 18 and older who had specific types of jaw fractures, and people with certain medical histories were not included.
  • The main goal was to check the health of the facial nerve after surgery using special tests at different times, and they also noted how long the surgery took and any problems that happened.
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Purpose: The purpose of the study was to determine whether performing ultrasound-guided, bilateral stellate ganglion blocks (SGBs; performed on subsequent days) improved traumatic brain injury (TBI) symptoms.

Methods: A retrospective chart review was conducted for the time period between August 2022 and February 2023 to identify patients who received bilateral, 2-level (C6 and C4) SGBs for PTSD symptoms but who also had a history of TBI. Neurobehavioral Symptoms Inventory (NSI) scores were collected at baseline, 1 week, and 1 month post-treatment in 14 males and 9 females.

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Article Synopsis
  • The study looked at a test called the modified-COMPASS-31 to see how well it measures symptoms after a mild brain injury, especially those related to autonomic dysregulation.
  • They compared this new test to the original COMPASS-31 and another test called the Neurobehavioral Symptom Inventory (NSI) to see how accurate they were.
  • The results showed that the modified-COMPASS-31 is a good way to track changes in symptoms and is helpful for doctors to know how patients are doing after treatment.
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Article Synopsis
  • Traumatic brain injury (TBI) is a serious condition that can lead to brain and gut problems, making recovery tough for patients.
  • The connection between the brain and gut can get messed up after TBI, causing more issues and inflammation in the brain.
  • Researchers are exploring different treatments, like hormones and probiotics, to help reduce inflammation and improve healing for people with TBI.
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Symptoms Associated With Exercise Intolerance and Resting Heart Rate Following Mild Traumatic Brain Injury.

J Head Trauma Rehabil

September 2024

Author Affiliations: School of Allied Health (Ms Thorne and Mr Ring) and Curtin Medical School (Drs Cowen, Jefferson, and Xu), Faculty of Health Sciences, Curtin Health Innovation Research Institute (Mss Thorne and Papini and Drs Hellewell, Cowen, Gozt, Pestell, and Fitzgerald), and School of Population Health (Drs Chih, Thomas, and Xu), Curtin University, Bentley, Western Australia; Perron Institute for Neurological and Translational Science, Nedlands, Western Australia (Mss Thorne and Papini and Drs Hellewell, Gozt, and Fitzgerald); Institute for Immunology and Infectious Diseases, Murdoch University, Murdoch, Western Australia (Mr Ring); School of Psychological Science (Drs Buhagiar and Pestell) and Divisions of Surgery (Dr Thomas) and Emergency Medicine (Dr Celenza), School of Medicine, The University of Western Australia, Nedlands, Western Australia; Neurological Intervention & Imaging Service of Western Australia (Dr Bynevelt) and Emergency Department (Dr Celenza), Sir Charles Gairdner Hospital, Nedlands, Western Australia; The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China (Dr Xu); Sir Charles Gairdner, Royal Perth and Fiona Stanley Hospitals, Perth, Western Australia (Dr Honeybul); Emergency Medicine, Royal Perth Hospital, University of Western Australia (Dr Fatovich); and Centre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research, Nedlands, Western Australia (Dr Fatovich).

Article Synopsis
  • This study looked at how symptoms, heart rate, and exercise ability are connected in people who have had a mild brain injury.
  • They tested 32 adults to see how many symptoms they had and how these affected their heart rate and ability to exercise.
  • The results showed that more symptoms were related to not being able to exercise well, and certain symptom types were linked to higher heart rates, with mood issues being a sign of longer-lasting problems.
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Article Synopsis
  • Concussions can cause problems that last a long time, not just during the injury itself.
  • After a concussion, the way our pupils react to light can change, making people more sensitive to light.
  • There can also be vision issues, like blurry sight and trouble focusing, which makes it hard to do tasks that need good eye coordination.
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Objective: To investigate autonomic nervous system activity measured by brain-heart interactions in comatose patients after cardiac arrest in relation to the severity and prognosis of hypoxic-ischemic brain injury.

Methods: Strength and complexity of bidirectional interactions between EEG frequency bands (delta, theta, and alpha) and ECG heart rate variability frequency bands (low frequency, LF and high frequency, HF) were computed using a synthetic data generation model. Primary outcome was the severity of brain injury, assessed by (i) standardized qualitative EEG classification, (ii) somatosensory evoked potentials (N20), and (iii) neuron-specific enolase levels.

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Article Synopsis
  • RBD is a sleep disorder that can lead to serious brain diseases like Parkinson's, especially in people with past brain injuries or stress.
  • People with both RBD and past trauma had their RBD symptoms start earlier and were more severe than those with just RBD.
  • The study found that those with both RBD and trauma experienced worse mental and physical health, suggesting a possible link to worsening brain problems over time.
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Continuous intraoperative neuromonitoring of the facial nerve predicts postoperative facial palsy in parotid surgery: a prospective study.

Eur Arch Otorhinolaryngol

March 2024

Department of Otolaryngology, Head/Neck and Facial Plastic Surgery, Sana Kliniken Leipziger Land, Rudolf-Virchow-Strasse 2, 04552, Borna, Germany.

Article Synopsis
  • Facial palsy (FP) is a big risk during parotid surgery, and special techniques like continuous monitoring (cIONM) help protect nerves.
  • In a study with 32 patients, doctors used cIONM while surgery was happening to check the nerve's health by sending small electrical signals.
  • The results showed that when nerve signals dropped, it was likely that patients would have FP after the surgery, helping doctors predict and possibly prevent nerve damage.
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Post-Face Lift Facial Paralysis: A 20-Year Experience.

Plast Reconstr Surg

October 2024

From the Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary.

Article Synopsis
  • Facial nerve injury can happen during face lift surgeries, but it's rare and can be serious.
  • A study looked at 25 patients over 20 years who had problems with their facial nerves after surgery to find out how they were treated and how well they recovered.
  • Most patients had good outcomes, with half recovering normal or nearly normal facial function, especially those who had the nerve fixed in the right conditions.
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Does Physiologic Post-Concussion Disorder Cause Persistent Post-Traumatic Headache?

Curr Pain Headache Rep

November 2023

Department of Orthopedics, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY, 14215, USA.

Article Synopsis
  • The review talks about different types of problems people can have after a concussion, focusing on something called physiologic post-concussion disorder (PCD).
  • Headaches are very common after a concussion, and those with physiologic PCD may have headaches due to issues in how their brain and body are working.
  • The review suggests that understanding physiologic PCD better could help find ways to prevent long-lasting headaches after a concussion.
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Article Synopsis
  • The study looked at two types of surgery to help patients with a problem called facial nerve paralysis, which can happen after an injury.
  • It checked how well each surgery worked by reviewing medical records of patients who had the operations between 2011 and 2017.
  • Both surgeries showed good results in helping patients, and the easier method (TMSL) was just as effective as the more complex one (MCF) without needing as much recovery time.
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Article Synopsis
  • The neck might be causing problems like dizziness and headaches in people who still feel bad after a concussion.
  • Three people with ongoing headaches and other symptoms had improvements after using special techniques related to their neck and throat.
  • In the long run, these techniques helped reduce their headaches and other symptoms, showing that neck issues might play a role in some concussion cases.
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Although there is significant variability in the manifestations of persisting post-concussive symptoms (PPCS), autonomic dysfunction has been reported to contribute to PPCS and could serve as a biomarker of recovery. The objective of this study was to evaluate cardiac autonomic reflexes and autonomic function after concussion injury comparing those with prolonged concussion symptoms to those without. This is a case-control study where a non-referred population of concussed children or adolescent participants were enrolled from the Emergency Department (ED) of the Stollery Children's Hospital, a tertiary pediatric hospital in Edmonton, Alberta, Canada.

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Article Synopsis
  • Traumatic brain injury (TBI) can affect how the brain controls heart functions and performs thinking tasks.
  • The study looked at 86 people who had TBI to see how their heart function relates to their cognitive abilities.
  • Results showed that certain heart function measurements were linked to how well these individuals performed on different thinking tests.
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Article Synopsis
  • This study looked at how concussions affect heart rate during sleep in athletes who are recovering and getting ready to return to sports.
  • They used special wrist sensors to track heart activity in 18 athletes with concussions and compared their data to 18 athletes without concussions.
  • The results showed that while recovering, the athletes with concussions had lower heart rate variability at night and this was linked to feeling drowsy, but there was no difference after they fully recovered.
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Article Synopsis
  • People with traumatic brain injury (TBI) often have problems with their autonomic nervous system, which controls things like heart rate.
  • Heart rate variability (HRV) is a way to measure how well this system is working, and some studies show that after a serious TBI, HRV can drop.
  • HRV biofeedback treatment might help improve how the nervous system works and also help with emotions and thinking after TBI, but more research is needed to know how well it actually works.
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Article Synopsis
  • This text is about understanding why some people struggle to exercise after having a concussion, which can be caused by changes in how the heart and body respond.
  • Researchers want to look at previous studies to find patterns and gaps in knowledge regarding this exercise problem after a concussion.
  • They found 17 studies that looked at how well people's bodies managed exercise after a concussion, but the results varied, suggesting we need more research to understand it better.
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Totally endoscopic transcanal facial nerve decompression in patients with traumatic facial nerve paralysis: from geniculate ganglion to mastoid segment.

J Laryngol Otol

December 2023

Skull Base Research Centre, The Five Senses Health Institute, School of Medicine, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Objective: The current study evaluated the effectiveness of endoscopic transcanal facial nerve decompression in patients with post-traumatic facial nerve paralysis.

Methods: This retrospective study included 10 patients with post-traumatic complete facial nerve paralysis who underwent endoscopic transcanal facial nerve decompression. The surgical technique was explained step by step, and the surgical complications, hearing status and facial nerve function 12 months post-operatively were reported.

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Article Synopsis
  • Researchers found that having a concussion can make it hard to exercise because of problems with the body's automatic functions.
  • The study looked at 101 patients who had concussions and used a special treadmill test to track how they improved after following an exercise program.
  • Results showed that 12 patients improved in important areas like how hard they could exercise and their heart rates after the exercise program, suggesting better ways to help people recover from these issues.
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Objective: To assess the recovery of the cardiac autonomic control system (CACS) response to the modified tilt-test during rehabilitation, in children post moderate-severe TBI at the subacute phase post-injury.

Method: Thirty-seven children aged 6-18 years, 14-162 days post moderate-severe TBI, participated in the study. The assessment included CACS values evaluation (heart rate (HR), heart rate variability (HRV) and blood pressure) during the modified tilt-test: five minutes lying supine and five minutes passive standing.

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