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Mild TBI

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https://www.readbyqxmd.com/read/28922710/paediatric-mild-head-injury-is-routine-admission-to-a-tertiary-trauma-hospital-necessary
#1
Krishna Tallapragada, Ratna Soundarya Peddada, Mark Dexter
BACKGROUND: Previous studies have shown that children with isolated linear skull fractures have excellent clinical outcomes and low risk of surgery. We wish to identify other injury patterns within the spectrum of paediatric mild head injury, which need only conservative management. Children with low risk of evolving neurosurgical lesions could be safely managed in primary hospitals. METHODS: We retrospectively analysed all children with mild head injury (i.e. admission Glasgow coma score 13-15) and skull fracture or haematoma on a head computed tomography scan admitted to Westmead Children's Hospital, Sydney over the years 2009-2014...
September 18, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28922182/the-use-of-the-model-of-occupational-self-efficacy-in-improving-the-cognitive-functioning-of-individuals-with-brain-injury-a-pre-and-post-intervention-study
#2
Shaheed Soeker
BACKGROUND: Individuals diagnosed with a Traumatic Brain Injury (TBI) often experience major limitations in returning to work despite participating in rehabilitation programmes. OBJECTIVE: The aim of the study was to determine whether individuals who sustained a traumatic brain injury experienced improved cognitive functioning after participating in an intervention programme that utilizes the Model of Occupational Self-Efficacy (MOOSE). PARTICIPANTS: Ten (10) individuals who were diagnosed with a mild to moderate brain injury participated in the study...
September 14, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28922176/cognition-and-return-to-work-after-mild-moderate-traumatic-brain-injury-a-systematic-review
#3
Karthik Mani, Bryan Cater, Akshay Hudlikar
BACKGROUND: Approximately two percent of the United States population are traumatic brain injury (TBI) survivors. The unemployment rate among them is substantial. Cognitive skills are essential to perform any job. OBJECTIVE: We analyzed the literature on cognitive rehabilitation (CR) related to mild/moderate TBI to learn the influence of cognition on return to work (RTW) post TBI. METHODS: We conducted a systematic review of the studies on CR related to RTW post TBI that were published between 2000 and 2015...
September 14, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28918103/rasch-analysis-dimensionality-and-scoring-of-the-neuropsychiatric-inventory-npi-irritability-and-aggression-subscales-in-individuals-with-traumatic-brain-injury
#4
James F Malec, Timothy E Stump, Patrick O Monahan, Jacob Kean, Dawn Neumann, Flora M Hammond
OBJECTIVE: To develop, for versions completed by individuals with traumatic brain injury (TBI) and an observer, a more precise metric for the Neuropsychiatric Inventory (NPI) Irritability and Aggression scales using all behavioral item ratings for use with individuals with TBI and address the dimensionality of the represented behavioral domains. DESIGN: Rasch and confirmatory factor analyses of retrospective baseline NPI data from three treatment studies. SETTING: Postacute rehabilitation clinic...
September 13, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28910378/neuroinflammation-myelin-and-behavior-temporal-patterns-following-mild-traumatic-brain-injury-in-mice
#5
Toufik Taib, Claire Leconte, Juliette Van Steenwinckel, Angelo H Cho, Bruno Palmier, Egle Torsello, Rene Lai Kuen, Somfieme Onyeomah, Karine Ecomard, Chiara Benedetto, Bérard Coqueran, Anne-Catherine Novak, Edwige Deou, Michel Plotkine, Pierre Gressens, Catherine Marchand-Leroux, Valérie C Besson
Traumatic brain injury (TBI) results in white matter injury (WMI) that is associated with neurological deficits. Neuroinflammation originating from microglial activation may participate in WMI and associated disorders. To date, there is little information on the time courses of these events after mild TBI. Therefore we investigated (i) neuroinflammation, (ii) WMI and (iii) behavioral disorders between 6 hours and 3 months after mild TBI. For that purpose, we used experimental mild TBI in mice induced by a controlled cortical impact...
2017: PloS One
https://www.readbyqxmd.com/read/28895488/a-systematic-review-of-psychological-interventions-for-sleep-and-fatigue-after-mild-traumatic-brain-injury
#6
Karen Sullivan, Hannah Blaine, Sherrie-Anne Kaye, Alice Theadom, Catherine Haden, Simon Smith
This review evaluated the evidence for psychological interventions to improve sleep and reduce fatigue after mild traumatic brain injury (TBI). Eight electronic databases were searched up until August 2016 for studies that: (1) included adults; (2) tested intervention effectiveness on sleep quality and fatigue, post-acutely; (3) applied a broadly-defined psychological intervention (e.g., cognitive behavioural therapy [CBT], counselling, or education). Only randomized controlled trials were eligible for inclusion...
September 12, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28895444/d-dimer-elevation-as-a-blood-biomarker-for-detection-of-structural-disorder-in-mild-traumatic-brain-injury
#7
Kazutaka Sugimoto, Eiichi Suehiro, Mizuya Shinoyama, Hirokazu Sadahiro, Kouhei Haji, Yuichi Fujiyama, Reo Kawano, Mitsuaki Nishioka, Michiyasu Suzuki
Computed tomography (CT) scans are useful in patients with traumatic brain injury (TBI), but the potential risks associated with ionizing radiation are unknown. Furthermore, CT scans are not commonly available in developing countries. In this study, coagulopathy and abnormal fibrinolysis were investigated as blood biomarkers for detection of structural disorder in mild TBI. A total of 88 patients with mild and isolated TBI (Glasgow Coma Scale (GCS) score 14-15) were admitted to Kenwakai Ootemachi Hospital between October 2014 and March 2016...
September 12, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28889832/intra-individual-cognitive-variability-an-examination-of-anam4-tbi-mil-simple-reaction-time-data-from-service-members-with-and-without-mild-traumatic-brain-injury
#8
Wesley R Cole, Emma Gregory, Jacques P Arrieux, F Jay Haran
OBJECTIVES: The Automated Neuropsychological Assessment Metrics 4 TBI-MIL (ANAM4) is a computerized cognitive test often used in post-concussion assessments with U.S. service members (SMs). Existing evidence, however, remains mixed regarding ANAM4's ability to identify cognitive issues following mild traumatic brain injury (mTBI). Studies typically examine ANAM4 by comparing mean scores to baseline or normative scores. A more fine-grained approach involves examining inconsistency within an individual's performance...
September 11, 2017: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/28880678/assault-related-mild-traumatic-brain-injury-expectations-of-injury-outcome-and-the-effect-of-different-perpetrators-a-vignette-study
#9
Karen A Sullivan, Christina Wade
Few studies have examined the effect of varying the assault perpetrator on expectations of outcome from mild TBI. Using a cross sectional between groups design, individuals with no history of mild TBI were randomly allocated to one of two vignette conditions. The vignette depicted a mild TBI with fixed injury parameters and a different assault perpetrator (partner, n = 27; or stranger, n = 27). The participants were instructed to imagine that they had been injured as per the depiction, and then to anticipate the injury consequences 6-months later...
September 7, 2017: Applied Neuropsychology. Adult
https://www.readbyqxmd.com/read/28875887/the-spectrum-and-outcome-of-paediatric-traumatic-brain-injury-in-kwazulu-natal-province-south-africa-has-not-changed-over-the-last-two-decades
#10
J J P Buitendag, V Y Kong, J L Bruce, G L Laing, D L Clarke, P Brysiewicz
OBJECTIVES: This retrospective review of a prospectively entered and maintained hybrid electronic trauma registry was intended to develop a comprehensive overview of traumatic brain injury (TBI) in children and adolescents and to compare it with previous audits from our local environment and from other developing world centres. All TBI patients admitted to hospital were included in this study. We reviewed the age, gender, outcomes, radiological findings and treatment of the patients. METHODS: All patients aged ≤18 years old who were admitted by the Pietermaritzburg Metropolitan Trauma Service (PMTS) with TBI between December 2012 and December 2016 were included in this audit...
August 25, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28874922/an-overview-of-the-use-of-neurofeedback-biofeedback-for-the-treatment-of-symptoms-of-traumatic-brain-injury-in-military-and-civilian-populations
#11
REVIEW
Sarah N Gray
Background: Neurofeedback, a type of biofeedback, is an operant conditioning treatment that has been studied for use in the treatment of traumatic brain injury (TBI) in both civilian and military populations. In this approach, users are able to see or hear representations of data related to their own physiologic responses to triggers, such as stress or distraction, in real time and, with practice, learn to alter these responses in order to reduce symptoms and/or improve performance. Objective: This article provides a brief overview of the use of biofeedback, focusing on neurofeedback, for symptoms related to TBI, with applications for both civilian and military populations, and describes a pilot study that is currently underway looking at the effects of a commercial neurofeedback device on patients with mild-to-moderate TBIs...
August 1, 2017: Medical Acupuncture
https://www.readbyqxmd.com/read/28854841/psychosocial-and-executive-function-recovery-trajectories-one-year-after-pediatric-traumatic-brain-injury-the-influence-of-age-and-injury-severity
#12
Heather T Keenan, Amy E Clark, RIchard Holubkov, Charles S Cox, Linda Ewing-Cobbs
Time since traumatic brain injury (TBI) and developmental stage at injury may affect the trajectory of outcomes associated with adjustment and school success. We prospectively enrolled a cohort of 519 children with either TBI or orthopedic injury (OI) aged 2.5 - 15 years to examine children's psychosocial and executive function outcomes at 3 and 12-months post-injury. Outcome measures included the Child Behavior Checklist (CBCL), Strengths and Difficulties Questionnaire (SDQ) and Behavior Rating Inventory of Executive Function (BRIEF) ratings...
August 30, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28852836/indications-for-surgical-stabilization-of-rib-fractures-in-patients-without-flail-chest-surveyed-opinions-of-members-of-the-chest-wall-injury-society
#13
Fredric M Pieracci, Suresh Agarwal, Andrew Doben, Adam Shiroff, Larwence Lottenberg, Sarah Ann Whitbeck, Thomas W White
PURPOSE: There are currently no evidence-based indications for surgical stabilization of rib fractures (SSRF) in patients without flail chest. The purpose of this survey was to identify patients for whom there is relative equipoise (operative vs. non-operative) in order to assist in designing a randomized clinical trial. METHODS: Members of the Chest Wall Injury Society were sent an online survey, in which 18 patient scenarios were presented. The baseline patient had ≥ three displaced, contiguous fractures and had no other contraindications for surgery...
August 29, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28851546/chronic-traumatic-encephalopathy-integration-of-canonical-traumatic-brain-injury-secondary-injury-mechanisms-with-tau-pathology
#14
REVIEW
Jacqueline R Kulbe, Edward D Hall
In recent years, a new neurodegenerative tauopathy labeled Chronic Traumatic Encephalopathy (CTE), has been identified that is believed to be primarily a sequela of repeated mild traumatic brain injury (TBI), often referred to as concussion, that occurs in athletes participating in contact sports (e.g. boxing, football, football, rugby, soccer, ice hockey) or in military combatants, especially after blast-induced injuries. Since the identification of CTE, and its neuropathological finding of deposits of hyperphosphorylated tau protein, mechanistic attention has been on lumping the disorder together with various other non-traumatic neurodegenerative tauopathies...
August 26, 2017: Progress in Neurobiology
https://www.readbyqxmd.com/read/28845349/understanding-treatment-of-mild-traumatic-brain-injury-in-the-military-health-system
#15
Carrie M Farmer, Heather Krull, Thomas W Concannon, Molly Simmons, Francesca Pillemer, Teague Ruder, Andrew Parker, Maulik P Purohit, Liisa Hiatt, Benjamin Saul Batorsky, Kimberly A Hepner
Traumatic brain injury (TBI) is considered a signature injury of modern warfare, though TBIs can also result from training accidents, falls, sports, and motor vehicle accidents. Among service members diagnosed with a TBI, the majority of cases are mild TBIs (mTBIs), also known as concussions. Many of these service members receive care through the Military Health System, but the amount, type, and quality of care they receive has been largely unknown. A RAND study, the first to examine the mTBI care of a census of patients in the Military Health System, assessed the number and characteristics (including deployment history and history of TBI) of nondeployed, active-duty service members who received an mTBI diagnosis in 2012, the locations of their diagnoses and next health care visits, the types of care they received in the six months following their mTBI diagnosis, co-occurring conditions, and the duration of their treatment...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28844093/alpha-linolenic-acid-treatment-reduces-the-contusion-and-prevents-the-development-of-anxiety-like-behavior-induced-by-a-mild-traumatic-brain-injury-in-rats
#16
Taiza H Figueiredo, Carolina L Harbert, Volodymyr Pidoplichko, Camila P Almeida-Suhett, Hongna Pan, Katia Rossetti, Maria F M Braga, Ann M Marini
Approximately, 1.7 million Americans suffer a TBI annually and TBI is a major cause of death and disability. The majority of the TBI cases are of the mild type and while most patients recover completely from mild TBI (mTBI) about 10% result in persistent symptoms and some result in lifelong disability. Anxiety disorders are the second most common diagnosis post-TBI. Of note, TBI-induced anxiety disorders are difficult to treat and remain a chronic condition suggesting that new therapies are needed. Previous work from our laboratory demonstrated that a mild TBI induced an anxiety-like phenotype, a key feature of the human condition, associated with loss of GABAergic interneurons and hyperexcitability in the basolateral amygdala (BLA) in rodents 7 and 30 days after a controlled cortical impact (CCI) injury...
August 26, 2017: Molecular Neurobiology
https://www.readbyqxmd.com/read/28842857/characterization-of-biaxial-stretch-as-an-in-vitro-model-of-traumatic-brain-injury-to-the-blood-brain-barrier
#17
Hector Rosas-Hernandez, Elvis Cuevas, Claudia Escudero-Lourdes, Susan M Lantz, Nancy P Gomez-Crisostomo, Nasya M Sturdivant, Kartik Balachandran, Syed Z Imam, William Slikker, Merle G Paule, Syed F Ali
Traumatic brain injury (TBI) is one of the major causes of disability in the USA. It occurs when external mechanical forces induce brain damage that causes deformation of brain tissue. TBI is also associated with alterations of the blood-brain barrier (BBB). Using primary rat brain microvascular endothelial cells as an in vitro BBB model, the effects of biaxial stretch were characterized at 5, 10, 15, 25, and 50% deformation using a commercially available system. The results were compared to the effects of mild and moderate TBI in vivo, induced by the weight-drop method in mice...
August 25, 2017: Molecular Neurobiology
https://www.readbyqxmd.com/read/28835707/fusion-or-fission-the-destiny-of-mitochondria-in-traumatic-brain-injury-of-different-severities
#18
Valentina Di Pietro, Giacomo Lazzarino, Angela Maria Amorini, Stefano Signoretti, Lisa J Hill, Edoardo Porto, Barbara Tavazzi, Giuseppe Lazzarino, Antonio Belli
Mitochondrial dynamics are regulated by a complex system of proteins representing the mitochondrial quality control (MQC). MQC balances antagonistic forces of fusion and fission determining mitochondrial and cell fates. In several neurological disorders, dysfunctional mitochondria show significant changes in gene and protein expression of the MQC and contribute to the pathophysiological mechanisms of cell damage. In this study, we evaluated the main gene and protein expression involved in the MQC in rats receiving traumatic brain injury (TBI) of different severities...
August 23, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28829662/abundant-unusual-neural-branches-from-the-fornix-in-patients-with-mild-traumatic-brain-injury-a-diffusion-tensor-tractography-study
#19
Sung Ho Jang, Han Do Lee
OBJECTIVES: Since the introduction of diffusion tensor tractography (DTT), several studies have been reported on the mechanisms for the recovery of an injured fornix in patients with traumatic brain injury (TBI). We report on patients who showed abundant unusual neural branches from the fornix following mild TBI using DTT. METHODS: Five patients with mild TBI who complained of memory impairment and showed preserved integrity of the fornix with abundant unusual neural branches on DTT, and eight normal subjects were recruited...
August 22, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28826717/head-computed-tomography-scan-in-isolated-traumatic-brain-injury-in-a-low-income-country
#20
Armel Flavien Kabore, Aziz Ouedraogo, Kélan Bertille Ki, Salah Seif Idriss Traore, Ibrahim Alain Traore, Cheik Tidiane Hafiz Bougouma, Darko Arnaudovski, Ousseini Diallo, Sylvain Zabsonre, Nazinigouba Ouedraogo, Pascal Augustin
BACKGROUND: Head Computed Tomography Scan (HCTS) is the cornerstone of the management of traumatic brain injury (TBI). The impact of performing HCTS in TBI has been scarcely investigated in low income countries (LICs). Furthermore, the cost of a HCTS is a burden for family finances. METHODS: A prospective observational study was conducted in Burkina Faso. All consecutive patients with isolated TBI needing a HCTS were included. Result and impact of HCTS were evaluated...
August 4, 2017: World Neurosurgery
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