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Academia Mexicana de Neurología, A.C.

2006, Number 3

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Rev Mex Neuroci 2006; 7 (3)

Optimization of computerized tomography of skull in slight cranioencephalic trauma

Varela HA, Pardo CG, Pardo CG

Language: Spanish
References: 21
Page: 194-199
PDF size: 80.05 Kb.


ABSTRACT

Introduction and objectives: The prognosis of patients with slight cranioencephalic trauma is not safe when it only settles down on the base of score according to Glasgow’s scale, being excellent the contribution of TC of skull. Nevertheless, when a so great volume of patients appears determination of risk factors of undergoing secondary complications to trauma allows the optimization of use of this resource. We investigated relation of different symptoms and signs from the patient with the appearance of complicated slight cranioencephalic trauma. Material and methods: To sample of 252 patients, surveyed of continuous form, a study multivaried with aid of the package of statistical programs SPSS/PC+ practiced to them. Results: The variables intensity, trauma and physical examination showed a high efficiency in the prediction of all degrees of complicated slight cranioencephalic trauma. On the other hand, the simptomatology was fundamentally related to the appearance of abnormalities in the TC of skull and the detection of craneal fracture with the necessity of neuroquirurgic intervention. Conclusions: The factors prognoses of relevance for the detection of complicated slight cranioencephalic trauma are: traumatisms of great intensity, appearance of abnormalities in neurological the physical examination and detection of craneal fracture. On this base the algorithms for the protocolized handling of these patients must be applied.


REFERENCES

  1. Francel P, Alves WM, Jane AJ. Mild Injury in Adults. In: Youman’s (eds.). Neurological Surgery. Philadelphia: Ed. Saunders; 1996, p. 1595-617.

  2. Cushman GJ, Agarwald N, Fabian CT, García V, Nagy KK, Pasquale DM, et al. Practice management guidelines for the management of mild traumatic brain injury: The EAST practice management guidelines work group. J Trauma 2001; 51: 1016-26.

  3. Borg J, Holm L, Peloso MP, Cassidy DJ, Carroll JL, Holst H v, Paniak Ch, Yates D. Non-surgical intervention and cost for mild traumatic brain injury: Results of the WHO collaborating centre task force on mild traumatic brain injury. J Rehabil Med 2004; 43(Suppl.): 76-83.

  4. Varela HA, Pardo CG, Mosquera BG, Vega BS, López DH. Caracterización del trauma craneoencefálico leve. Nuestra experiencia. Archivo Médico de Camagüey 2005; 9(3). Disponible en: www.cmw.sld.cu/amc/v9n3/1

  5. Varela HA, Pardo CG, Medrano GR, García RC. Anormalidades tomográficas en el trauma craneoencefálico leve. Rev Mex Neuroci 2005; 6(2): 120-3.

  6. Varela HA, Pardo CG, Domínguez NM, Medrano GR, Vega BS. Degradaciones del Glasgow en los pacientes con trauma craneoencefálico leve. Rev Mex Neuroci 2005; 6(6): 488-90.

  7. Graber M. Minor head trauma in children and athletes. Emergency Medicine 2001; 33(10): 14-18.

  8. Swann JI, Kelliger T, Kerr J. Are we ready for NICE head injury guidelines in Scotland? Emerg Med J 2004; 21: 401-2.

  9. Tasker CR. Skull X rays, CT scans, and making a decision in head injury. Arch Dis Child 2005; 90: 774-5.

  10. Servadei F, Teasdale G, Merry G. Definins acute mild injury in adults: a proposal based on prognostic factors, diagnosis, and management. J Neurotrauma 2001M; 18(7): 657-64.

  11. Pardo GR. Empleo de una técnica multivariada simplificada para detectar y evaluar automáticamente las variables independientes y asociadas en las investigaciones pedagógicas. Pedagogía 99. Universidad de Camagüey; 1998.

  12. Brell M, Ibáñez J. Manejo del traumatismo craneoencefálico leve en España: encuesta multicéntrica nacional. Neurocirugía 2001; 12: 105-24.

  13. Peloso MP, Carroll JL, Cassidy DJ, Borg J, Holst H v, Holm L, Yates D. Critical evaluation of the existing guidelines on mild traumatic brain injury. J Rehabil Med 2004; 43 (Suppl.): 106-12.

  14. Dunning J, Stratford-Smith Ph, Lecky F, Batchelor J, Hogg K, Browne J, Sharpin C, Mackway-Jones K. A meta-analysis of clinical correlates that predict significant intracranial injury in adults with minor head trauma. J Neurotrauma 2004; 21(7): 877-85.

  15. Bond MM, Viera JA, Yates WS. The “minor” head injury: Which patients need CT? Emerg Med 1999; 31(4): 48-9.

  16. Cassidy DJ, Carroll L, Côté P, Holm L, Nygren A. Mild traumatic brain injury after traffic collisions: a population-based inception cohort study. J Rehabil Med 2004; (Suppl.) 43: 15-21.

  17. Vos EP, Battistin L, Birbamer G, Gerstenbrand F, Potapov A, Prevec T, Stepan ACh, Traubner P, Twijnstra A, Vecsei L, Wild KV. EFNS guideline on mild traumatic brain injury: report of an EFNS task force. Eur J Neurol 2002; 9: 207-19.

  18. Ashe RA, Mason DJ. Assesing and managing head injury. Emergency Medicine 2001; 33(12): 26-36.

  19. Coats JT. NICE head injury guidelines. Emerg Med J 2004; 21: 402.

  20. Graber M. Minor head trauma in children and athletes. Emergency Medicine 2001; 33(10): 14-18.

  21. Contant CF, Narayan RK. Prognosis after head injury. In: Youman’s (eds.). Neurological Surgery. Philadelphia: Ed. Saunders; 1996 p. 1792-812.




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