By Harvey S. Levin, Howard M. Eisenberg, Arthur L. Benton
Regardless of wide documentation of postconcussion indicators, the sequelae of gentle head harm haven't been absolutely favored until eventually fresh years. This booklet presents the 1st entire dialogue of present advances within the realizing, therapy, and administration of light head harm. In a lucid type, the individuals talk about neurosurgical suggestions and neurobehavioral final result in adults and youngsters, neuroimaging and neurophysiological equipment of research, experimental types, activities accidents, and psychosocial and epidemiological facets. leading edge courses to mitigate incapacity after gentle head harm are provided via the physicians and psychologists who constructed them, and the connection among psychosocial outcomes and postconcussional lawsuits and neuropsychological sequelae is mentioned. updated and finished, this booklet may be precious to clinicians and investigators in neurology, neurosurgery, neuropsychology, and rehabilitation medicine.
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Recognizing that causes, clinical features, risk of complications, and management are different in children, the Scottish data have recently been analyzed separately for adults and children (aged 14 years or less). , 1978) 44% were under age 15; scalp lacerations occurred in 42%, being equally common in children and adults. Between 50% and 60% of adults and children had a skull x-ray in the accident department which showed a fracture in about 3% of each age group. Evidence of brain damage was found in 20% of all cases (26% of adults and 12% of children).
This pattern did not change appreciably for patients with or without associated fractures of the skull or facial bones. Table 2-7 shows the cumulative percentage of hospital days by Glasgow Coma Scale. For patients with a GCS of 13-14, the median length of stay was almost three days, whereas for patients with an emergency room GCS of 15, the median length of stay was about two days. 0 — "Excludes 22 persons with unknown hospital days. Time and Hour of Injury Figure 2-5 shows the distribution of mild brain injuries by day of week.
Management of head injuries. Philadelphia: FA Davis, 1981. KlonoffH, Low MD, Clark D. Head injuries in children: a prospective five-year followup. J Neurol Neurosurg Psychiatry 40:1211-1219, 1977. Kraus JF, Black MA, Hessol N, Ley P, Rokaw W, Sullivan C, Bowers S, Knowlton S, Marshall L. The incidence of acute brain injury and serious impairment in a defined population. Am J Epidemiol 119:186-201, 1984. Levin HS, Eisenberg HM. Neuropsychological outcome of closed head injury in children and adolescents.
Mild Head Injury by Harvey S. Levin, Howard M. Eisenberg, Arthur L. Benton