Traumatic Brain Injury : Advanced Multimodal Neuromonitoring From
نویسندگان
چکیده
raumatic brain injury (TBI) accounts for 1.4 million reported injuries and 52000 deaths each year in the United States. TBI is the leading cause of death and disability in patients from ages 1 to 44 years. The main causes of TBI are motor vehicle crashes, falls, and assaults. Secondary neurological damage, the damage that occurs in the ensuing hours and days after the primary injury, contributes markedly to poor neurological outcome and mortality. Signs of secondary neurological damage include brain swelling (Figure 1), somnolence, abnormal motor function, and pupillary changes. Nevertheless, the onset and extent of secondary injury are Traumatic Brain Injury: Advanced Multimodal Neuromonitoring From Theory to Clinical Practice
منابع مشابه
Advanced Neuromonitoring and Imaging in Pediatric Traumatic Brain Injury
While the cornerstone of monitoring following severe pediatric traumatic brain injury is serial neurologic examinations, vital signs, and intracranial pressure monitoring, additional techniques may provide useful insight into early detection of evolving brain injury. This paper provides an overview of recent advances in neuromonitoring, neuroimaging, and biomarker analysis of pediatric patients...
متن کاملMultimodality Neuromonitoring in Critically Ill Patients Without Primary Acute Brain Injury
The field of neuromonitoring has grown rapidly over the past 30 years, which has helped improve pathophysiological understanding, clinical care and outcomes for patients with primary ABI, including traumatic brain injury (TBI), subarachnoid haemorrhage (SAH), hypoxic-ischaemic injury and ischaemic or haemorrhagic stroke. The main goals of neuromonitoring are to better understand a patient’s cer...
متن کاملActual evidence for neuromonitoring-guided intensive care following severe traumatic brain injury.
Therapeutic interventions following severe traumatic brain injury (TBI) are substantially influenced by complex and interwoven pathophysiological cascades involving both, local and systemic alterations. Our main duty is to prevent secondary progression of the primary damage. This, in turn, obliges us to actively search and identify secondary insults related, for example, to hypoxia, hypotension...
متن کاملA User-Configurable Headstage for Multimodality Neuromonitoring in Freely Moving Rats
Multimodal monitoring of brain activity, physiology, and neurochemistry is an important approach to gain insight into brain function, modulation, and pathology. With recent progress in micro- and nanotechnology, micro-nano-implants have become important catalysts in advancing brain research. However, to date, only a limited number of brain parameters have been measured simultaneously in awake a...
متن کاملEarly brain injury after aneurysmal subarachnoid hemorrhage: a multimodal neuromonitoring study
INTRODUCTION There is a substantial amount of evidence from animal models that early brain injury (EBI) may play an important role for secondary brain injury after aneurysmal subarachnoid hemorrhage (aSAH). Cerebral microdialysis (CMD) allows online measurement of brain metabolites, including the pro-inflammatory cytokine interleukin-6 (IL-6) and matrix metalloproteinase-9 (MMP-9), which is ind...
متن کامل