Using Bayesian networks for diagnostic reasoning in penetrating injury assessment

Proceedings 13th IEEE Symposium on Computer-Based Medical Systems. CBMS 2000 ◽

10.1109/cbms.2000.856888 ◽

2002 ◽

Cited By ~ 7

Author(s):

O. Ogunyemi ◽

J.R. Clarke ◽

B. Webber

Keyword(s):

Bayesian Networks ◽

Diagnostic Reasoning ◽

Penetrating Injury ◽

Injury Assessment

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Penetrating injury of the cheek requiring skull base exploration

The Journal of Laryngology & Otology ◽

10.1258/002221502760132467 ◽

2002 ◽

Vol 116 (7) ◽

pp. 548-550 ◽

Cited By ~ 5

Author(s):

N. N. Patel ◽

S. C. Wang ◽

L. Marentette

Keyword(s):

Road Traffic Accident ◽

Traffic Accident ◽

Road Traffic ◽

Information Gathering ◽

Penetrating Injury ◽

Injury Mechanisms ◽

The Face ◽

Injury Assessment ◽

Scene Information ◽

Control Lever

We report a case of a very unusual penetrating injury of the middle third of the face. The patient was involved in a road traffic accident, and the indicator control lever became impaled in his right cheek. There was contralateral orbital damage resulting in loss of sight. The cribriform plate was breached and a pneumoencephalocele ensued.We discuss the modern management of such injuries including injury assessment. We emphasize the importance of crash scene information gathering and analysis of injury mechanisms. Facial injury zonal classification and imaging are reviewed in the context of the case. We discuss the reasons that led us to treat this patient via the subcranial approach.

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Sports Concussions (TBI), Imbalance, and Dizziness

Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders ◽

10.1044/nnsld25.1.36 ◽

2015 ◽

Vol 25 (1) ◽

pp. 36-41 ◽

Cited By ~ 1

Author(s):

Steven M. Doettl

Keyword(s):

Assessment Tools ◽

Vestibular Evoked Myogenic Potentials ◽

Post Injury ◽

Management Tools ◽

Concussion Management ◽

Post Concussion Syndrome ◽

Behavioral Marker ◽

Valid Assessment ◽

Injury Assessment

It has been widely accepted that the assessment of balance after concussion plays a large role in determining deficit. Qualitative balance assessments have been an established piece of the post-injury assessment as a clinical behavioral marker of concussion for many years. Recently more specific guidelines outlining the role of balance evaluation in concussion identification and management have been developed as part of concussion management tools. As part of the ongoing development of concussions protocols, quantitative assessment of balance function following concussion has also been identified to have an important role. Frequently imbalance and dizziness reported following concussion is assumed to be associated with post-concussion syndrome (PCS). While imbalance and dizziness are common complaints in PCS, they can also be a sign of additional underlying pathology. In cases of specific dizziness symptoms or limited balance recovery beyond the initial post-concussive period, a quantitative vestibular assessment may also be needed. Electronystagmography and videonystagmography (ENG/VNG), rotary chair testing (RCT), and vestibular evoked myogenic potentials (VEMPs) have all been identified as valid assessment tools for vestibular dysfunction following traumatic brain injury (TBI). The assessment of balance and dizziness following sports-related concussions is an integral piece of the puzzle for removal from play, assessment of severity, and management.

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