Moderate traumatic brain injury: the grey zone of neurotrauma

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dc.contributor.authorGodoy, Daniel Agustín
dc.contributor.authorRUBIANO ESCOBAR, ANDRES MARIANO
dc.contributor.authorRabinstein, Alejandro
dc.contributor.authorBullock, Ross M.
dc.contributor.authorSahuquillo, Juan
dc.contributor.orcidRubiano, Andrés M. [0000-0001-8931-3254]
dc.date.accessioned2020-07-16T15:59:17Z
dc.date.available2020-07-16T15:59:17Z
dc.date.issued2016
dc.description.abstractenglishModerate traumatic brain injury (MTBI) is poorly defined in the literature and the nomenclature “moderate” is misleading, because up to 15 % of such patients may die. MTBI is a heterogeneous entity that shares many aspects of its pathophysiology and management with severe traumatic brain injury. Many patients who ‘’talk and died’’ are MTBI. The role of neuroimaging is essential for the proper management of these patients. To analyze all aspects of the pathophysiology and management of MTBI, proposing a new way to categorize it considering the clinical picture and neuroimaging findings. We proposed a different approach to the group of patients with Glasgow Coma Scale (GCS) ranging from 9 through 13 and we discuss the rationale for this proposal. Patients with lower GCS scores (9–10), especially those with significant space-occupying lesions on the CT scan, should be managed following the guidelines for severe traumatic brain injury, with ICU observation, frequent serial computed tomography (CT) scanning and ICP monitoring. On the other hand, those with higher range GCS (11–13) can be managed more conservatively with serial neurological examination and CT scans. Given the available evidence, MTBI is an entity that needs reclassification. Large-scale and well-designed studies are urgently needed.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1007/s12028-016-0253-y
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1556-0961
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/3533
dc.language.isoeng
dc.publisher.journalNeurocritical Carespa
dc.relation.ispartofseriesNeurocritical Care, 1556-0961, Vol. 25, Nro. 2, 2016, p. 306-319spa
dc.relation.urihttps://link.springer.com/article/10.1007/s12028-016-0253-y
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2016-10-01
dc.rights.localAcceso abiertospa
dc.subject.decsesiones traumáticas del encéfalospa
dc.subject.decsMortalidadspa
dc.subject.decsNeuroimagenspa
dc.subject.keywordsModerate TBIspa
dc.subject.keywordsTalk and diedspa
dc.subject.keywordsCategorizationspa
dc.titleModerate traumatic brain injury: the grey zone of neurotraumaspa
dc.title.translatedModerate traumatic brain injury: the grey zone of neurotraumaspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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