2017, Number 1
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Medicentro 2017; 21 (1)
Neurologic and epidemiologic characterization of frontal head trauma during a period of five years in Villa Clara
Amado DMAR, Cañizares LO, Alba PLC, Alegret RM
Language: Spanish
References: 20
Page: 30-38
PDF size: 358.16 Kb.
ABSTRACT
Introduction: head injuries constitute a leading cause of death and disability in patients younger than 45 years.
Objective: to characterize neurologic and epidemiologic variables in frontal head trauma.
Methods: an epidemiological and descriptive transversal study was carried out from January, 2011 to December 2015; it included all adult patients seen at «Arnaldo Milián Castro» Hospital in Santa Clara, Villa Clara who were classified as frontal head trauma, mild or moderate with frontal lobe lesion.
Results: a number of 150 patients were evaluated, male sex predominated and age ranged 27-59 years with an average age 42.2 years. Car accidents were among the most frequent causes, followed by falls and aggressions. Approximately one third of patients had consumed alcoholic beverages. A higher incidence of mild traumas was found, although moderate ones had higher figures to those informed by other authors; right hemisphere was the most affected region, limited to frontal lobe in most patients, and an extension to an adjacent lobe was identified in almost a quarter, as well as, in only few cases the lesion was extended to more than one lobe.
Conclusions: the analyses made on the analyzed variables confirm the importance of age, as well as, show their association with consciousness alteration in frontal head traumas.
REFERENCES
Ahman S, Saveman BI, Styrke J, Bjornstig U, Stalnacke BM. Long-term follow-up of patients with mild traumatic brain injury: a mixed-method study. J Rehabil Med. 2013;45(8):758-64.
Leibson CL, Brown AW, Ransom JE, Diehl N. Incidence of traumatic brain injury across the full disease spectrum: a population based medical record review study. Epidemiology. 2011;22(6):836-44.
Theadom A, Barker Collo S, Feigin VL, Starkey NJ. The spectrum captured a methodological approach to studying incidence and outcomes of traumatic brain injury on a population level. Neuroepidemiology. 2012;38(1):18-29.
Daroff RB, Fenchel GM, Jakovic J. Trauma of the nervous system: cranio cerebral trauma: Bradley’s neurology in clinical practice. 6th. ed. San Francisco: Elsevier; 2012. p. 942-56.
Thompson HJ, Dikmen S, Temkin N. Prevalence of comorbidity and its association with traumatic brain injury and outcomes in older adults. Res Gerontol Nurs. 2012;5(1):17-24.
Solís-Marcos I, Castellano-Guerrero AM, Domínguez-Morales R, León-Carrión J. Predictores de la recuperación funcional cognitiva en pacientes con traumatismo craneoencefálico. Rev Neurol [internet]. 2014 [citado 3 ene. 2015];58(7):[aprox. 7 p.]. Disponible en: https://www.researchgate.net/profile/Jose_Leon-Carrion/publication/261188493_Predictors_of_the_recovery_of_cognitive_functions_in_patients_with_traumatic_brain_injury/links/54e2fda60cf2c3e7d2d51ea1.pdf
Oliveira E, Lavrador JP, Santos MM, Lobo Antunes J. Traumatic brain injury: integrated approach. Acta Méd Port. 2012;25(3):179-92.
Leitgeb J, Mauritz W, Brazinova A, Majdan M, Janciak I, Wilbacher I, et al. Glasgow Coma Scale score at intensive care unit discharge predicts the 1-year outcome of patients with severe traumatic brain injury. Eur J Trauma Emerg Surg. 2013;39(3):285-92.
Amado Donéstevez A, Blanco González R, Camacho Díaz L. Caracterización del trauma craneoencefálico frontal utilizando la escala de coma de Glasgow en el Servicio de Neurocirugía. Acta Méd Centro [internet]. 2011 [citado 22 mar. 2012];5(2):[aprox. 7 p]. Disponible en: http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/563/729
Dhandapani S, Manju D, Sharma B, Mahapatra A. Prognostic significance of age in traumatic brain injury. J Neurosci Rural Pract. 2012;3(2):131-5.
Corrigan JD, Hammond FM. Traumatic brain injury as a chronic health condition. Arch Phys Med Rehabil. 2013 Jun.;94(6):1199-201.
Pavawalla SP, Schmitter Edgecombe M, Smith RE. Prospective memory after moderate to severe traumatic brain injury: a multinomial modeling approach. Neuropsychology. 2012;26(1):91-101.
Stuss DT. Functions of the frontal lobes: relation to executive functions. J Int Neuropsychol Soc. 2011;17(5):759-65.
Amado Donéstevez A, Blanco González R, Camacho García L. Trauma craneoencefálico frontal y su evaluación neuropsicológica. Medicent Electrón [internet]. 2011 [citado 4 mar. 2012];5(1):[aprox. 5 p.]. Disponible en: http://www.medicentro.sld.cu/index.php/medicentro/article/viewFile/74/103
Ramos-Zúñiga R, González de la Torre M, Jiménez Maldonado M, Villasenor- Cabrera T, Banuelos Acosta R, Aguirre Portillo L, et al. Postconcussion syndrome and mill head injury: the role of early diagnosis using neuropsychological test and functional Magnetic Resonance-Spectroscopy. World Neurosurg. 2013;18:720-6.
Fraga Maia H, Dourado I, Fernández RC, Werneck GL. Factores asociados a la incapacidad funcional global luego de transcurrido un año después del traumatismo craneoencefálico. Salud Colect. 2013;9(3):335-52.
Kristiansson H, Nissborg E, Bartek J Jr, Andresen M, Reinstrup P. Measuring Elevated Intracranial Pressure through Noninvasive Methods: A Review of the Literature. J Neurosurg Anesthesiol. 2013;25:372-85.
Su SH, Wang F, Hai J, Liu NT, Yu F, Wu YF, et al. The effects of intracranial pressure monitoring in patients with traumatic brain injury. PloS One. 2014;9(2):e87432.
Gould KR, Ponsford JL, Spitz G. Association between cognitive impairments and anxiety desorders fallowing traumatic brain injury. J Clin Exp Neuropsychol. 2014;36(1):1-14.
Cicerone KD. Participation after multidisciplinary rehabilitation for moderate to severe traumatic brain injury in adults. Arch Phys Med Rehabil. 2013;94(7):1421-3.