Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-27T07:52:39.906Z Has data issue: false hasContentIssue false

Chapter 11 - Management of traumatic brain injury

Published online by Cambridge University Press:  07 October 2011

By
David Palestrant
Edited by
S. Andrew Josephson ,
W. David Freeman  and
David J. Likosky
S. Andrew Josephson
Affiliation:
University of California, San Francisco
W. David Freeman
Affiliation:
Mayo Clinic
David J. Likosky
Affiliation:
Evergreen Hospital Medical Center, Kirkland, WA
Get access

Summary

Traumatic brain injury (TBI) remains a serious public health issue. It is the leading cause of both mortality and morbidity in the United States in 1-44 year old age group. Multitudes of pathophysiological injuries encompass traumatic brain injury. These include subdural and epidural hematomas, subarachnoid hemorrhage, contusions, global and regional cerebral edema, diffuse axonal injury, and vascular injury. Therapy is directed at preventing secondary brain damage by treating the evolving cascades of injury. Immediate and baseline supportive care is provided for all patients with moderate to severe head injury. Secondary brain injury may result from pre-hospital and in hospital hypoxemia and hypotension. Intracranial pressure (ICP) monitoring, with either a subarachnoid bolt or external ventricular drain (EVD), has become the standard of care for patients with severe head injury. Decompressive craniectomy (DC) involves removing a portion of the skull and allowing the edematous brain to swell outwards, thereby reducing intracranial pressure.

Keywords

acute symptomatic seizureepilepsyfocal seizurestatus epilepticusprovoked seizurepatients with seizures
Type
Chapter
Information
Neurohospitalist Medicine , pp. 153 - 158
Publisher: Cambridge University Press
Print publication year: 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×