Results 25 patients. Mean age 57 years. 22 (80%) males. 17 (68%) of the cases between October and Mars. Most frequent mechanisms of injury were: syncope 11 (44%), own height falling 9 (3%), high height falling 2 (8%). In 13 (52%) of the patients, intoxication signs were found, especially ethanol. 13 (52%) were picked up on the streets. The mean GCS (Glasgow Coma Scale) at pick up was 13.8, neur...

background variables derived from electroencephalogram like cerebral state index (csi) have been used to monitor the anesthesia depth during general anesthesia. observed evidences show such variables have also been used as a detector of brain death or outcome predictor in traumatic brain-injured (tbi) patients. objectives the current study was designed to determine the correlation between glasg...

Although decompressive craniectomy following traumatic brain injury is an option in patients with raised intracranial pressure (ICP) refractory to medical measures, its effect on clinical outcome remains unclear. The aim of this study was to evaluate the outcome of patients undergoing this procedure as part of protocol-driven therapy between 2000-2003. This was an observational study combining ...

Objective: Chronic subdural hematoma (CSDH) is a relatively common disease with a simple treatment strategy. However, the prognosis for CSDH patient is not always easily determined. The aim of this study was to investigate the prognostic factors for patients with CSDH. Methods: Forty-six patients who were treated with burrhole trephination surgery for CSDH were retrospectively analyzed. The pos...

OBJECTIVE To study the effect of hyperbaric oxy gen (HBO) treatment of severe brain injury. METHODS Fifty-five patients were divided into a treatment group (n=35 receiving HBO therapy) and a control group (n=20 receiving dehydrating, cortical steroid and antibiotic therapy) to observe the alteration of clinic GCS (Glasgow Coma Scale), brain electric activity mapping (BEAM), prognosis and GOS ...

The Glasgow Coma Scale (GCS) was introduced 40 years ago and has received world-wide acceptance. The GCS rates eye, motor, and verbal responses to assess the level of consciousness. Concerns have been expressed with regard to reliability and consistency of assessments. We considered that lack of standardization in application techniques and reporting of the GCS may have contributed to these con...

The fact that injuries caused by accidents are the most common cause of death in children and adolescents in Germany gave rise to the study, which mainly deals with traffic accidents in this group. 200,221 records of emergency-service physicians in Bavaria which cover the period 1995-1999 were analysed with respect to the importance of traumatic brain injury (TBI) in children and adolescents (n...

STUDY OBJECTIVE To explore how Student's t test, which assumes normal errors, is affected by the nonnormal distribution of Glasgow Coma Scale (GCS) scores. METHODS A sample of 145,295 GCS scores from the Pennsylvania Trauma Systems Foundation was assumed to represent the true GCS distribution. Four Monte Carlo simulations, each based on 40,000 replications, were conducted to approximate the d...

Background Work in the 1940s and 1950s revealed that the brainstem was key to consciousness. The experimental definition of the reticular activating system by Moruzzi and Magoun28 in 1949 was followed by various confirmatory clinical studies.15,38 Studies conducted during World War II and later demonstrated that rotational head injury was more effective than translational acceleration/decelerat...

Aim: To compare the predictive accuracy of Glasgow coma Scale (GCS) versus full outline unresponsiveness score (FOUR score) for poor out-come prediction in children admitted paediatric ICU. Study design: Descriptive cross-sectional study. Place and duration study: Department Pediatrics, Services Hospital Lahore from 29th June 2017 to December 2017. Methodology: One hundred seventy were enrolled...