background cerebral state index (csi) is derived from electroencephalogram (eeg) and is used for monitoring the level of consciousness during anesthesia. this study was designed to investigate the accuracy of glasgow coma scale (gcs) and csi as a predictor of in-hospital mortality in patients with trauma brain injury (tbi). objective to compare the predictive value of gcs and csi for predicting...

INTRODUCTION Hypercapnic coma secondary to acute respiratory failure (ARF) is considered to be a contraindication to the use of treatment with noninvasive positive-pressure ventilation (NPPV). However, intubation exposes these patients to the risk of complications such as nosocomial pneumonia, sepsis, and even death. PATIENTS AND METHODS We performed a prospective, open, noncontrolled study t...

OBJECTIVES The role of EEG and evoked potentials has not been evaluated in predicting the prognosis of tuberculous (TB) meningitis. The present study was aimed at evaluating the prognostic significance of clinical, radiological, and neurophysiological variables using multi-variable analysis. METHODS Patients with TB meningitis diagnosed on the basis of clinical, radiological, and CSF criteria...

Objectives: Traumatic spine injuries may lead to devastating outcomes. One of the most common causes death in these patients is thromboembolism, more with those who have risk factors. This study aimed find out incidence and associated factors thromboembolism traumatic fractures. Methods: retrospective cohort included all adult fractures from 2007 2014 King Abdulaziz Medical City Riyadh. Signifi...

This case report demonstrates an excellent outcome in a child with acute necrotizing encephalitis that was likely associated the post-infectious SARS-CoV-2. The aim of this is to emphasize early diagnosis and initiation immunotherapy treatment may yield good outcome, particularly use tocilizumab high-dose methylprednisolone. Post immunotherapy, significant neurological improvement seen through ...

AIM To identify the potential prognostic factors for mortality after falls from height. METHOD A retrospective clinical observational study included victims of fall of >6m from October 2000 to December 2007. Variables studied comprised each casualty's age, gender, height of fall, Glasgow Coma Scale (GCS) score, Abbreviated Injury Scale scores, Injury Severity Score, heart rate, Mean Arterial ...

OBJECTIVES The purpose of the present study was to evaluate the association between the red blood cell distribution width (RDW) and the Glasgow Coma Scale (GCS), Canadian Neurological Scale (CNS), and National Institutes of Health Stroke Scale (NIHSS) scores in patients who had acute ischemic stroke. METHODS This prospective observational cohort study included 88 patients who have had acute i...

Nowadays computerized tomography (CT) is widely used in th diagnosis and care of patients with severe head injuries because of its safety, speed, and function to allow visualization of the entire intracranial area'" . In particular, serial CT scanning (SCT) , performed several times after the initial CT, can visualize the dynamics of morphological changes in severe head injuries, hitherto only ...

Acute head injury Epidemiology In the United Kingdom more than 150,000 patients are admitted to hospital each year with an acute head injury. Of this group more than 80% are classified as having a mild head injury, as defined by the Glasgow Coma Scale (GCS). Approximately 1-2% of patients admitted to hospital after traumatic brain injury die as a consequence of their injuries with the majority ...