By Anish Bhardwaj, Jeffrey R. Kirsch
The medical administration of sufferers with acute mind and spinal wire damage has developed considerably with the arrival of latest diagnostic and healing modalities. Editors Bhardwaj, Ellegala, and Kirsch current Acute mind and Spinal wire Injury , a brand new stand-alone connection with aid todayвЂ™s neurologists and neurosurgeons hold abreast of all of the contemporary developments in mind and spinal twine harm. Divided into 5 sections, disturbing mind damage, ischemic stroke, intracerebral and subarachnoid hemorrhage, and spinal twine damage, this article bargains the most up-tp-date scientific technology and highlights controversies within the medical administration of sufferers with acute mind and spinal twine injuries.
Acute mind and Spinal twine Injury :
- each part delineates diagnostic and tracking instruments, pharmacotherapies, and interventional and surgical remedies are covered
- examines and explores lately released laboratory trials and research
- incorporates over 50 diagrams and figures for concise conversation of medical information
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Extra info for Acute Brain and Spinal Cord Injury: Evolving Paradigms and Management
Additionally, patients with a GCS score decline by 2 points or more between the field and the emergency room are more likely to require surgical intervention (12). A recent study found that outcomes were better predicted when the GCS was combined with anatomic measures of injury severity as gauged by the head abbreviated injury score and injury severity score, especially for patients younger than 48 years (13). Pupillary Examination The pupillary examination is critical; a dilated pupil that fails to respond to light is evidence of ipsilateral uncal herniation until proven otherwise.
Wei K, Jayaweera AR, Firoozan S, et al. Quantification of myocardial blood flow with ultrasound-induced destruction of microbubbles administered as a constant venous infusion. Circulation 1998; 97(5):473–483. 13. Wei K, Le E, Bin JP, et al. Quantification of renal blood flow with contrast-enhanced ultrasound. J Am Coll Cardiol 2001; 37(4):1135–1140. 14 Dunn and Ellegala 14. Heppner P, Ellegala DB, Durieux M, et al. Contrast ultrasonographic assessment of cerebral perfusion in patients undergoing decompressive craniectomy for traumatic brain injury.
Another concern harbored by neurosurgeons and neurointensivists alike is the concept that DC may simply be shifting patients from impending death to severe permanent vegetative state (47). To generate class I data with which to answer these questions and others, two multicentered trials are underway that seek to compare optimal medical management to delayed DC in the management of refractory ICP following brain trauma. These trials should help to resolve the ambiguity surrounding the use of delayed DC in head injury management and establish the range of complications expected during the routine use of DC.
Acute Brain and Spinal Cord Injury: Evolving Paradigms and Management by Anish Bhardwaj, Jeffrey R. Kirsch