Chapter title |
Cerebral hemodynamic changes after wartime traumatic brain injury.
|
---|---|
Chapter number | 19 |
Book title |
Cerebral Vasospasm: Neurovascular Events After Subarachnoid Hemorrhage
|
Published in |
Acta neurochirurgica Supplement, June 2012
|
DOI | 10.1007/978-3-7091-1192-5_19 |
Pubmed ID | |
Book ISBNs |
978-3-70-911191-8, 978-3-70-911192-5
|
Authors |
Razumovsky A, Tigno T, Hochheimer SM, Stephens FL, Bell R, Vo AH, Severson MA, Marshall SA, Oppenheimer SM, Ecker R, Armonda RA, Alexander Razumovsky Ph.D., FAHA, Teodoro Tigno M.D., Sven M. Hochheimer M.D., Fred L. Stephens M.D., Randy Bell M.D., Alexander H. Vo Ph.D., Meryl A. Severson, Scott A. Marshall M.D., Stephen M. Oppenheimer M.D., Ph.D., Robert Ecker M.D., Rocco A. Armonda, Alexander Razumovsky, Teodoro Tigno, Sven M. Hochheimer, Fred L. Stephens, Randy Bell, Alexander H. Vo, Scott A. Marshall, Stephen M. Oppenheimer, Robert Ecker, Razumovsky, Alexander, Tigno, Teodoro, Hochheimer, Sven M., Stephens, Fred L., Bell, Randy, Vo, Alexander H., Severson, Meryl A., Marshall, Scott A., Oppenheimer, Stephen M., Ecker, Robert, Armonda, Rocco A. |
Editors |
Mario Zuccarello, Joseph F. Clark, Gail Pyne-Geithman, Norberto Andaluz, Jed A. Hartings, Opeolu M. Adeoye |
Abstract |
Traumatic brain injury (TBI) is associated with the severest casualties from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). From October 1, 2008, the U.S. Army Medical Department initiated a transcranial Doppler (TCD) ultrasound service for TBI; included patients were retrospectively evaluated for TCD-determined incidence of post-traumatic cerebral vasospasm and intracranial hypertension after wartime TBI. Ninety patients were investigated with daily TCD studies and a comprehensive TCD protocol, and published diagnostic criteria for vasospasm and increased intracranial pressure (ICP) were applied. TCD signs of mild, moderate, and severe vasospasms were observed in 37%, 22%, and 12% of patients, respectively. TCD signs of intracranial hypertension were recorded in 62.2%; 5 patients (4.5%) underwent transluminal angioplasty for post-traumatic clinical vasospasm treatment, and 16 (14.4%) had cranioplasty. These findings demonstrate that cerebral arterial spasm and intracranial hypertension are frequent and significant complications of combat TBI; therefore, daily TCD monitoring is recommended for their recognition and subsequent management. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 50% |
Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 3% |
Unknown | 38 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 8 | 21% |
Other | 6 | 15% |
Student > Postgraduate | 3 | 8% |
Student > Bachelor | 2 | 5% |
Student > Doctoral Student | 2 | 5% |
Other | 5 | 13% |
Unknown | 13 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 16 | 41% |
Engineering | 3 | 8% |
Neuroscience | 3 | 8% |
Psychology | 2 | 5% |
Unknown | 15 | 38% |