Traumatisme cranio-cerebrale și recuperare.
81 de articoleThis cross-sectional study examined 709 Spanish-speaking adults (aged 18–65) to determine whether repeated head/neck injuries without loss of consciousness (subconcussive exposures) correlate with neurobehavioral symptoms. Results showed significant effects of both lifetime injury history and frequency of subconcussive exposure on symptom severity measured by the Neurobehavioral Symptom Inventory.
This study demonstrates that repetitive traumatic brain injury can trigger reactivation of herpes simplex virus-1 (HSV-1) in human brain tissue, leading to pathological features characteristic of Alzheimer's disease. The research was conducted using advanced 3D brain tissue models, providing insights into potential mechanisms linking TBI to neurodegenerative disease risk.
A survey of 207 U.S. Major League Rugby players examined their understanding of head injury assessment and return-to-play protocols, finding that understanding was not correlated with prior concussion history but was associated with international playing experience and trust in league protocols. The study identified gaps in player education and staffing as key factors affecting protocol comprehension and player safety.
This observational study of 110 traumatically injured individuals found that while fatigue and sleep disturbance were elevated compared to controls, these symptoms were not specifically attributable to mild traumatic brain injury itself. Rather, psychological distress and pain—common to all trauma survivors—were the primary predictors of fatigue and sleep disruption, regardless of head injury status.
This systematic review evaluated the effectiveness of psychological interventions for prolonged post-concussion symptoms lasting more than 12 months after mild traumatic brain injury. Cognitive Behavioural Therapy showed the strongest evidence for improving anxiety, anger, and mental well-being, though the overall evidence base remains preliminary and requires more rigorous research.
This study evaluated the feasibility and utility of ImPACT-QT, a brief iPad-based cognitive screening tool, in acutely hospitalized trauma patients with mild TBI. The test was completed in ~9 minutes with high usability, and memory scores significantly differentiated mTBI patients from non-TBI controls, suggesting potential clinical utility for rapid bedside cognitive assessment.
This systematic video analysis examined 147 professional women's football matches across four major tournaments, identifying 362 potential head injuries (2.46 per match). Only 36.2% received medical assessment, with visible concussion signs in 23.2% of cases; aerial duels were the most common cause, followed by opponent contact and ball impact.
This systematic review and meta-analysis synthesized data from observational studies (2000-2024) to assess post-traumatic headache (PTH) prevalence in TBI patients, finding a pooled prevalence of 49.3%. Subgroup analyses revealed variations across measurement tools and study characteristics, with interviews reporting higher prevalence rates than other assessment methods.
This study developed machine learning models using data from 971 college athletes to predict recovery timelines and recovery type (typical vs. prolonged) following sports-related concussion. Post-concussion symptoms and cognitive performance measured 24-48 hours post-injury were the strongest predictors, with classification models achieving 89% accuracy in distinguishing typical from prolonged recovery trajectories.
This clinical case describes a 31-year-old man who developed cerebral venous sinus thrombosis (CVST) after a moderate traumatic brain injury from a motorbike accident, despite the absence of severe skull fracture. Early detection via CT venography and conservative management without anticoagulation led to partial thrombus resolution and neurological recovery by discharge.
This study examined 208 adults to determine whether fatigue, sleep disruption, and sex differences uniquely predict post-concussion symptom severity in mild TBI patients compared to trauma controls and healthy controls. Female sex and elevated fatigue independently predicted post-concussion symptoms only in the mTBI group, while psychological status was the primary predictor across all groups.
This study successfully adapted the Rivermead Post-Concussion Symptoms Questionnaire into Hindi and validated it for use in Hindi-speaking TBI patients. The Hindi version demonstrated good reliability, temporal stability, and a six-factor structure with adequate psychometric properties for assessing post-head injury symptoms.
A randomized survey of 4,303 US adults compared two question formats for assessing 12-month TBI history: grouped versus individual symptom checklists. Individually listed TBI symptoms yielded significantly higher self-reported prevalence (8.3%) than grouped symptoms (4.3%), highlighting how survey methodology substantially influences TBI burden estimates in population surveillance.
This audit evaluated 99 head injury discharge leaflets from NHS England trusts against NICE guidance (NG232), finding none achieved full compliance (mean score 0.42/1.0). While safety information about surgical deterioration met targets, advice on concussion symptom management and return-to-activity guidance fell significantly short of standards.
This study examined the factor structure and validity of the 40-item CM-TBI scale using 988 international participants and identified significant psychometric limitations, resulting in a revised 18-item instrument with improved validity. The authors conclude that modern understanding of TBI has evolved since the original scale's development, and recommend developing new instruments that more clearly distinguish between knowledge and misconceptions as separate constructs.
This special communication reviews how knowledge and clinical practice regarding concussion and traumatic brain injury have evolved over four decades, examining advances in understanding pathophysiology, recovery mechanisms, and long-term outcomes. The article highlights shifts in terminology, improvements in assessment and rehabilitation approaches, and identifies areas requiring further research.
This retrospective cohort study examined 3,500+ patients with moderate to severe TBI and found that immediate neurorehabilitation (within 1 week) reduced the risk of developing Parkinson's disease at 3 and 5 years compared to delayed rehabilitation (8 days to 6 months). The protective effect was demonstrated through both PD incidence and medication prescription outcomes using propensity score-matched analysis.
This feasibility study examines whether the UDS v3.0 Brief Cognitive Status examination can be effectively used as a longitudinal assessment tool to detect perioperative neurocognitive dysfunction in older surgical patients. The research addresses a clinical gap in identifying postoperative cognitive impairment using standardized neuropsychological instruments.