1. Unsolved Problems of Brain Trauma.
- Author
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Tandon, Prakash and Tandon, Prakash N
- Subjects
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BRAIN injuries , *INTRACEREBRAL hematoma , *SUBDURAL hematoma , *CENTRAL nervous system injuries , *PATHOLOGY , *TRANSCRANIAL Doppler ultrasonography - Abstract
Historical Vignette Sir Graham Teasdale, an old friend of mine, whose name as a neurotraumatologist has been immortalized by his epoch making study universally associated with the Glasgow Coma Scale (GCS).[[1]] He is credited with the establishment of the European Brain Injury Consortium and the International Neurotrauma Society, apart from his major contribution to the field of neurotraumatology.[[2]] Even 40 years later, the evidence showcases the GCS has stood the test of time.[[3]] My own interest in the field of neurotraumatology dates back to the days with Prof. Kristiansen, my mentor, who was deeply concerned regarding the challenges faced as early as 1949.[[4]] However, in spite of all the efforts and recent advances, some of the basic issues regarding the management of severe head injuries (SHI) remain unsolved. "Despite claims to the contrary, no clear decrease in traumatic brain injuries (TBI)-related mortality, or an improvement in the overall outcome has been observed over the past two decades.[[29]] Reviewing progress in the management of severe head injury between 1960 and 1995, I came to the conclusion that, "In spite of the innumerable clinical, pathological and experimental studies the ideal management of TBI remains an elusive goal." To the best of the authors' knowledge so far, no reliable information is available on the beneficial role of therapy based on this knowledge.[[42]],[[43]] Vascular Changes Following Head Injury There has been enough pathological and clinical evidence to indicate the high incidence of cerebral circulatory abnormalities associated with a severe head injury. G. Longterm ICP monitoring in comatose patients suffering from head injury. [Extracted from the article]
- Published
- 2020
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