Document Detail


Traumatic brain injury is under-diagnosed in patients with spinal cord injury.
MedLine Citation:
PMID:  17896053     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the occurrence and severity of traumatic brain injury in patients with traumatic spinal cord injury. DESIGN: Cross-sectional study with prospective neurological, neuropsychological and neuroradiological examinations and retrospective medical record review. PATIENTS: Thirty-one consecutive, traumatic spinal cord injury patients on their first post-acute rehabilitation period in a national rehabilitation centre. METHODS: The American Congress of Rehabilitation Medicine diagnostic criteria for mild traumatic brain injury were applied. Assessments were performed with neurological and neuropsychological examinations and magnetic resonance imaging 1.5T. RESULTS: Twenty-three of the 31 patients with spinal cord injury (74%) met the diagnostic criteria for traumatic brain injury. Nineteen patients had sustained a loss of consciousness or post-traumatic amnesia. Four patients had a focal neurological finding and 21 had neuropsychological findings apparently due to traumatic brain injury. Trauma-related magnetic resonance imaging abnormalities were detected in 10 patients. Traumatic brain injury was classified as moderate or severe in 17 patients and mild in 6 patients. CONCLUSION: The results suggest a high frequency of traumatic brain injury in patients with traumatic spinal cord injury, and stress a special diagnostic issue to be considered in this patient group.
Authors:
Anu Tolonen; Jukka Turkka; Oili Salonen; Eija Ahoniemi; Hannu Alaranta
Related Documents :
18440953 - Evaluation of rotation thrombelastography for the diagnosis of hyperfibrinolysis in tra...
18316353 - Utility of total lower extremity radiography investigation of nonweight bearing in the ...
2275893 - Efficacy of sotalol in controlling reentrant supraventricular tachycardias.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine     Volume:  39     ISSN:  1650-1977     ISO Abbreviation:  J Rehabil Med     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-26     Completed Date:  2007-11-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  622-6     Citation Subset:  IM    
Affiliation:
Käpylä Rehabilitation Centre, Finnish Association of People with Mobility Disabilities, Helsinki, Finland. anu.tolonen@invalidiliitto.fi
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Brain Injuries / complications*,  diagnosis,  rehabilitation
Cross-Sectional Studies
Female
Humans
Injury Severity Score
Magnetic Resonance Imaging
Male
Middle Aged
Neurologic Examination
Neuropsychological Tests
Prospective Studies
Spinal Cord Injuries / complications*,  rehabilitation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Recovery in the first year after mild head injury: divergence of symptom status and self-perceived q...
Next Document:  Effects of Bobath-based therapy on depression, shoulder pain and health-related quality of life in p...