Brain injury : [BI]
-
Brain injury : [BI] · Jan 2011
Comparative StudyTo exclude or not to exclude: white matter hyperintensities in diffusion tensor imaging research.
A practical methodological issue for diffusion tensor imaging (DTI) researchers is determining what to do about incidental findings, such as white matter hyperintensities (WMHI). The purpose of this study was to compare healthy control subjects with or without WMHIs on whole brain DTI. ⋯ The decision to include or exclude subjects who have incidental findings can influence the results of a study.
-
Brain injury : [BI] · Jan 2011
Association between combat stress and post-concussive symptom reporting in OEF/OIF service members with mild traumatic brain injuries.
The relationship between combat stress and post-concussive symptoms in service members with mild traumatic brain injuries (mTBI) is poorly understood. It was hypothesized that the co-occurrence of combat stress would have a significant effect on the severity of post-concussive complaints, specifically on emotional and cognitive symptoms. ⋯ The findings of the present study suggest that non-brain injury-related factors, such as high-levels of combat stress, may impact post-concussive symptom reporting in this population, further confounding the accuracy of the post-concussion syndrome (PCS) diagnosis. Considerable caution should be exercised in making the diagnosis of PCS in concussed service members with co-occurring combat-stress disorders.
-
Brain injury : [BI] · Jan 2011
Case ReportsImpact of post-traumatic hypersomnia on functional recovery of cognition and communication.
To assess aspects of cognition and communication, in response to the treatment of post-traumatic hypersomnia and mood disturbance. ⋯ A comprehensive pharmacological management programme addressing the multi-factorial underlying aetiology was successful in improving sleep, arousal and mood. The D-CCASP was found to be clinically and statistically sensitive to reported changes in cognitive-communication function in relation to improvements in sleep and daytime arousal. These findings suggest that management of sleep/wake disturbances and mood post-traumatic brain injury can potentially facilitate improvements in cognitive-communication function which may, in turn, facilitate participation in rehabilitation and community integration.
-
Brain injury : [BI] · Jan 2011
Axis I and II psychiatric disorders in patients with traumatic brain injury: a 12-month follow-up study.
To evaluate the occurrence of axis I and II psychiatric disorders among patients with traumatic brain injury (TBI). ⋯ Both axis I and II psychiatric disorders are common among patients with TBI. Alcohol dependence and personality disorders are prevalent in individuals prone to TBI, whereas depressive disorders typically develop after injury. Psychiatric disorders should be addressed in rehabilitation, as otherwise they will hinder the recovery after TBI.
-
Brain injury : [BI] · Jan 2011
A prospective study of early versus late craniectomy after traumatic brain injury.
Decompressive craniectomy is an important method for managing traumatic brain injury (TBI). At present, controversies about this procedure exist, especially about the optimum operative time for patients with TBI. ⋯ Early decompressive craniectomy as a first-tier therapy for intracranial hypertension did not improve patient outcome when compared with "late" decompressive craniectomy for managing TBI.