ConceptsPatients who talk and deteriorate
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Cited by (33)
Subdural haematoma diagnosed as drug ingestion in patient with schizophrenia
2021, Psiquiatria BiologicaAssessment of intracranial pressure monitoring in patients with moderate traumatic brain injury: A retrospective cohort study
2020, Clinical Neurology and NeurosurgeryOutcomes Following Exploratory Burr Holes for Traumatic Brain Injury in a Resource Poor Setting
2017, World NeurosurgeryCitation Excerpt :Following a TBI, a sudden change in the patient's examination, in the form of a decreased level of consciousness or development of lateralizing signs, is an indication to investigate the possibility of an expanding intracranial hematoma.9 In patients who were verbally communicative on admission to the hospital, a rapid deterioration in mental status is due to an intracranial hematoma in approximately 75% of patients.20 Mortality is markedly affected by time to operative intervention, with hematomas needing to be evacuated within 4 hours of injury to prevent poor neurologic outcome.8
Spectrum of Traumatic Brain Injury from Mild to Severe
2012, Surgical Clinics of North AmericaModerate and severe traumatic brain injury in adults
2008, The Lancet NeurologyCitation Excerpt :Two trials are currently ongoing: the RESCUEicp (Randomised Evaluation of Surgery in Craniectomy for Uncontrollable Elevation of Intracranial Pressure) Study in Europe and the DECRA (Decompressive Craniectomy) Study in Australia.103 Many patients develop progressive damage without clear clinical signs; in others, damage develops at an alarming pace, exemplified by the so-called “talk and die” syndrome.104,105 Neuroworsening, defined as a deterioration of the GCS motor score, development of pupillary abnormalities, or development of progressive CT lesions, has been reported in 29–44% of patients.106–108
Presented at the Neurotrauma: Concepts, Current Practice & Emerging Therapies symposium in Detroit, Michigan, June 1992.