Traumatisme cranio-cerebrale și recuperare.
81 de articoleA new study reveals a bidirectional risk relationship between traumatic brain injury and neurological diseases, where each condition can accelerate the progression of the other. This research highlights the complex interactions between TBI and various neurological conditions in disease acceleration.
A new standardized framework for assessing traumatic brain injury is being tested at trauma centers, incorporating biomarkers, imaging studies (CT/MRI), clinical symptoms, and relevant medical factors to improve diagnostic accuracy. This expanded approach aims to enable more precise diagnosis and appropriate treatment planning for TBI patients.
This research examines when low-intensity and remote treatment approaches are most effective for managing post-concussion syndrome symptoms across different patient populations. The study aims to identify which patient segments benefit most from these accessible intervention strategies compared to traditional intensive approaches.
This study analyzed ImPACT (concussion cognitive testing) baseline data from 390 NCAA Division I athletes across four seasons to establish sex-specific minimal detectable change ranges and test-retest reliability. Results show several cognitive subtests exhibit poor reliability in both sexes, with females showing particularly low reliability on visual memory and multiple processing tasks, requiring careful clinical interpretation of score changes.
Post-concussion syndrome develops when symptoms persist beyond typical recovery periods following mild traumatic brain injury, with unclear etiology involving both neurobiological and psychological factors. Current evidence-based treatment combines pharmacological options (amantadine, methylphenidate, SSRIs) with non-drug rehabilitation approaches, though no unified treatment algorithm exists.
This pilot study of 24 TBI patients found that one-third met criteria for neurocognitive disorder, with affected patients showing significantly lower performance on working memory, processing speed, and general cognitive screening measures. Key findings included associations between cognitive impairment and higher body mass index, lower functional outcomes, and challenges with timely assessment delivery in routine clinical settings.
This scoping review of 25 studies (1976-2025) documents traumatic brain injuries in surfing, including concussions, skull fractures, and intracranial hemorrhages occurring at 0.8-1.9% prevalence in emergency department cohorts. The analysis reveals under-quantified neurotrauma risk and highlights gaps in surfing-specific helmet efficacy data and standardized return-to-play guidelines despite the sport's Olympic status.
This article examines whether neuroprotective therapeutic interventions for traumatic brain injury may remain effective beyond the traditionally recognized acute phase, potentially extending treatment opportunities over weeks to months. The review evaluates current evidence regarding delayed neuroprotection mechanisms and clinical feasibility of extended treatment windows in TBI management.
A qualitative study interviewed eight rugby union healthcare professionals about their experiences with current head injury assessment protocols on-field and pitch-side. Findings show that while standardized protocols provide structure, clinical judgment remains essential for accurate diagnosis, and professionals express cautious optimism toward emerging technologies like biomarker testing and motor control assessments.
This study examines differences in anesthetic outcomes and safety profiles between pediatric patients with and without prior concussion symptoms. The research addresses potential interactions between concussion-related neurological effects and general anesthesia administration in children.
A 14-year-old Syrian male with a penetrating gunshot injury to the left frontal region underwent urgent surgical intervention including craniectomy and bone fragment removal, achieving rapid neurological improvement from GCS 10 to 15 within 12 hours. This rare case demonstrates that selected patients with penetrating brain trauma can achieve complete recovery with prompt expert assessment, neuroimaging, and timely surgical management combined with multidisciplinary rehabilitation.
This review examines how traumatic brain injury increases cardiovascular disease risk through autonomic dysfunction, neuroinflammation, and oxidative stress. Physical exercise is identified as a promising therapeutic approach to modulate inflammation and restore autonomic balance, though optimal protocols require further standardization.
A national survey of 1,683 U.S. school principals found that 75% of schools have concussion policies, but only 58% include classroom support guidance and 29% require staff training on concussion management. The study highlights inconsistencies in school-based concussion policies and advocates for comprehensive, standardized best practices to improve student care coordination.
This study examined how mild TBI history affects the relationship between attentional bias (vigilance and avoidance to emotional stimuli) and depressive, anxiety, and stress symptoms in two community samples. Results indicated that TBI moderated the association between attentional vigilance and emotional symptoms, suggesting differential emotional processing patterns in individuals with prior head injury.
This scoping review examines the potential role of ketogenic diet as a therapeutic intervention to support recovery following traumatic brain injury. The review synthesizes existing evidence on how ketogenic approaches may influence neurological outcomes and recovery processes in TBI patients.
This study describes methodology for developing multimodal rapid screening tests to assess cognitive readiness in military and sports contexts, targeting detection of impairments from concussive/subconcussive injury, sleep deprivation, and intoxication. The proposed tools aim to be sensitive, reliable, and practical across diverse settings including field environments and clinics.
This commentary discusses a clinical study comparing adults who experience persistent post-concussion symptoms following mild traumatic brain injury or minimal head injury. The analysis focuses on rehabilitation outcomes and clinical presentation patterns in an outpatient setting.
This systematic review examined how traumatic brain injury (TBI) prevalence and incidence vary across racial and ethnic groups in the United States, finding significant disparities including highest concussion rates among American Indian/Alaska Native high school students and TBI-related death rates ranging from 7.7 to 29.0 per 100,000 across different populations. The findings highlight the need for targeted public health approaches addressing disparities in TBI risk and outcomes across different demographic groups.
