Symptoms And Symptoms Of A Traumatic Brain Injury

2011 WordsNov 25, 20169 Pages
PENETRATING CRANIOCEREBRAL INJURIES INTRODUCTION Traumatic Brain Injury is a large subset of the global public health epidemic of trauma. It is estimated that 1.7 million people sustain traumatic brain injury (TBI) in the United States of America (1). In a study by Crandon et al, published in the West Indian Journal of Medicine in 2007, 857 patients were admitted to the University Hospital of the West Indies over a four year period with TBI. Of that total only eight percent (8%) were due to penetrating injuries(2). Even though penetrating brain injuries are not common they tend to carry a worse prognosis(3). The management of penetrating TBI is the same as for any other closed TBI. The tenets of avoiding secondary brain injury holds true. There are however a few key management features that are quite specific to penetrating injury and these include antibiotic prophylaxis, seizure prophylaxis and indication for surgery. After reviewing the index case we will discuss these key peculiar differences in more detail. INDEX CASE A 42 year old male presented to the emergency department of the Kingston Public Hospital (KPH) after being transferred from a peripheral hospital, with a history of being shot to the head with a spear gun approximately four hours prior to presentation. He had no chronic illnesses and during an altercation with known assailant, was shot once with the spear gun to the head. He had no history of loss of consciousness, no seizures, no vomiting
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