introduction: timely diagnosis and treatment of post traumatic, elevated intracranial pressure (eicp), could reduce morbidity and mortality, as well as improve patients’ outcome. this study is trying to evaluate the diagnostic accuracy of sonographic optic nerve sheath diameter (onsd) in detection of eicp. methods: sonographic onsd of patients with head trauma or cerebrovascular accident suspic...

objective: to investigate the effects of intracranial pressure (icp) monitoring on mortality rate and functional outcome of patients with severe traumatic brain injury (tbi). methods: this was historical cohort study being performed in nemazee hospital of shiraz during a 4-year period (from 2006 to 2010) including those patients with severe tbi who had undergone care based on icp monitoring (ca...

background: cerebral vasospasm is a preventable cause of death and disability in patients who experience aneurysmal subarachnoid hemorrhage (sah). the aim of this study is to investigate the incidence of cerebral vasospasm following traumatic sah and its relationship with different brain injuries and severity of trauma. method s: this cross-sectional study was conducted from october 2006 to mar...

the patient with head trauma is a challenge for the emergency physician and for the neurosurgeon. currently traumatic brain injury constitutes a public health problem. knowledge of the various supportive therapeutic strategies in the pre-hospital and pre-operative stages is essential for optimal care. the immediate rapid infusion of large volumes of crystalloids to restore blood volume and bloo...

methods of modulating brain neural plasticity, improving memory and learning, improving recovery from traumatic brain injury, preventing epilepsy, treating memory disorders, and treating persistent impairment of consciousness in humans and animals by nerve stimulation are provided. widespread loss of cerebral connectivity is assumed to underlie the failure of brain mechanisms that support commu...

main goal in the management of patients with severe traumatic brain injury (tbi) is control of intracranial pressure (icp). decompressive craniectomy is an accepted technique for control of refractory intracranial hypertension in patients with severe tbi. because of high complication rate after decompressive craniectomy, new techniques such as basal cisternostomy have developed. we herein repor...

conclusions although ceiling effects should be considered for rehabilitation targets, the two-factor model of fim (motor and cognitive independence) has an eligible fitness for iranian patients with tbi. results the results of this study showed that the floor effect was not observed; however, ceiling effects were observed for the fim total score and its subscales. the confirmatory factor analys...

Acute traumatic brain injury is a worldwide public health crisis. Post-traumatic subarachnoid hemorrhage (SAH) is a finding that is present at a frequency of 40% according to data from American TCDB (1,2). Among the mechanisms that have been implicated as causes of post-traumatic SAH is the cortical bleeding through the subarachnoid space. It is estimated that the incidence of post-traumatic SA...

chiari malformation type i (cm-i) is a congenital disorder, which is basically a tonsillar herniation (≥ 5 mm) below the foramen magnum with or without syringomyelia. the real cause behind this malformation is still unknown. patients may remain asymptomatic until they engender a deteriorating situation, such as cervical trauma. the objective of this case report is to give a broad perspective on...