BACKGROUND AND PURPOSE Patients with traumatic brain injury (TBI) and low Glasgow coma scale (GCS) scores may have severe injury associated with cellular disruption that can be studied with whole-brain apparent diffusion coefficient (ADC) histograms. We retrospectively studied this hypothesis and correlated ADC with GCS. METHODS Twenty-one patients (37.81 +/- 41.3 years) with TBI were enrolle...

OBJECTIVE To examine possible changes in Glasgow Coma Scale (GCS) scores related to changes in emergency management, such as intubation and chemical paralysis, and the potential impact on outcome prediction. PARTICIPANTS 10 228 patients from the Traumatic Brain Injury Model Systems national database. DESIGN Retrospective study examining 5-year epochs from 1987 to 2012. MAIN MEASURES GCS s...

BACKGROUND The Glasgow Coma Scale (GCS) is popular, simple, and reliable, and provides information about the level of consciousness in trauma patients. Nevertheless, the necessity of using a more complex system than GCS has been questioned recently. The revised Acute Physiology and Chronic Health Evaluation system (APACHE II) is a physiologically based system including 12 physiological variable...

Background. Encephalitis continues to be a significant cause of morbidity and mortality, there are few studies assessing prognostic factors in patients with acute encephalitis. An objective was to evaluate predictors of outcomes at hospital discharge for adult patients with acute encephalitis after inpatient evaluation. Methods. This was a retrospective study done at Memorial Hermann Hospital i...

OBJECTIVE To assess the association of the Glasgow Coma Scale (GCS) with radiological evidence of head injury (the Abbreviated Injury Scale for the head region, AIS-HR) in young children hospitalized with traumatic head injury (THI), and the predictive value of GCS and AIS-HR scores for long-term impairment. METHODS Our study involved a 10-year retrospective review of a database encompassing ...

The assessment of the degree of consciousness has traditionally posed a challenge for clinicians. Different structured scales have been presented to quantify the severity of the disorder of consciousness. The Glasgow Coma Scale (GCS), the Disability Rating Scale (DRS), the Coma Recovery Scale, later revised (CRS-R) and the Loewenstein Communication Scale (LCS) [1] are good examples. However, th...

BACKGROUND Ventricular drainage has played an important role in the management of traumatic brain-injured patients. The aim of the present study was describe outcomes in a series of 57 patients with diffuse brain swelling underwent to intracranial pressure (ICP) monitoring. METHOD Fifty-eight patients with diffuse posttraumatic brain swelling, were evaluated prospectively. The Glasgow Coma Sc...

INTRODUCTION Brain infarction after trauma is uncommon. Injury of the carotid and vertebrobasilar arteries can cause brain infarction due to occlusion of brain blood flow. CASE PRESENTATION Emergency medical service (EMS) brought a 4-year-old girl involved in a car accident to the emergency room. She had had seizure controlled by diazepam. She was unconscious and her Glasgow coma scale (GCS) ...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 background : traumatic brain injury (tbi) is known as one of the most important causes of mortality in middle-aged population. the aim of this study was to evaluate the effects of gabapentin in improvement of consciousness level in these patients. methods : this randomized clinical trial was performed in march 2008 to sept...

Objective: The goal of this study were to identify the factors that may predict the outcome of subarachnoid hemorrhage (tSAH) patients, and to assist in the management of their treatment. Methods: We retrospectively studied 90 patients admitted to our hospital in the two-year period from January 1, 2003, to December 31, 2004, with an initial computed tomographic (CT) diagnosis of tSAH. Follow-u...