Agitation in brain injury.
نویسنده
چکیده
Perhaps one of the most controversial and poorly understood phenomena in brain injury care and research is agitation. There is little consensus about this entity within the field of physical medicine and rehabilitation, let alone consensus among neuroscience professionals. The lack of agreement is so basic that use of the term agitation is questioned. This lack of consensus was the genesis of this issue of NeuroRehabilitation. Articles approach the phenomenon of brain injury agitation from several disciplines, spanning assessment to new frontiers in neuropharmacology. This variety of perspectives is both healthy and necessary to assist the characterization of agitation following brain injury. It challenges disciplines to rethink the neurobehavioral sequelae of brain injury and hopefully will stimulate further discussion and research. Agitation appears to be a common phenomenon; therefore, it is essential for neuroscience professionals to have an approach for management. In addition to operationally defining agitation, articles highlight management strategies. This comprehensive review of agitation should be of interst to all rehabilitation and neuroscience professionals who care for brain injured individuals. In addition to the articles on agitation, this issue of NeuroRehabilitation contains two articles focusing on seizures and their management. These manuscripts were originally part of the special issue on behavioral neurology (Vol. 5, no. 2) prepared by David S. Geldmacher, but appear herein due to space constraints of the previous issue.
منابع مشابه
Agitation after traumatic brain injury: considerations and treatment options.
Posttraumatic agitation is a challenging problem for acute and rehabilitation staff, persons with traumatic brain injury, and their families. Specific variables for evaluation and care remain elusive. Clinical trials have not yielded a strong foundation for evidence-based practice in this arena. This review seeks to evaluate the present literature (with a focus on the decade 1995-2005) and empl...
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Akathisia is reported to be one of the most common and disabling side effects of antipsychotics and other drugs. Akathisia is also a rare cause of psychomotor agitation in patients with traumatic brain injury (TBI). In this clinical note, we describe a case report of akathisia in a 34-year-old woman with TBI; review earlier case studies on akathisia in TBI; and discuss the differential diagnosi...
متن کاملAdvanced Regression Methods for Single-Case Designs: Studying Propranolol in the Treatment for Agitation Associated With Traumatic Brain Injury
Objective: The use of single-case designs in intervention research is discussed. Regression methods for analyzing data from these designs are considered, and an innovative use of logistic regression to analyze data from a double-blind, randomized clinical trial of propranolol for agitation among persons with traumatic brain injury (TBI) is used. Method: Double-blind, randomized clinical trial p...
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INTRODUCTION We report the effective use of dexmedetomidine in the treatment of a patient with a history of chronic alcohol abuse and an acute traumatic brain injury who developed agitation that was unresolved if from traumatic brain injury, or alcohol withdrawal or the combination of both. Treatment with benzodiazepines failed; lorazepam therapy obscured our ability to do reliable neurological...
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ورودعنوان ژورنال:
- NeuroRehabilitation
دوره 5 3 شماره
صفحات -
تاریخ انتشار 1995