scholarly journals Rate of Intracranial Hemorrhage After Minor Head Injury

Cureus ◽  
2020 ◽  
Author(s):  
Phillip A Bonney ◽  
Amy Briggs ◽  
Robert G Briggs ◽  
Casey A Jarvis ◽  
Frank Attenello ◽  
...  
Keyword(s):  
Head Injury ◽  
Intracranial Hemorrhage ◽  
Minor Head Injury

Minor Head Injury in Warfarinized Patients: Indicators of Risk for Intracranial Hemorrhage

2011 ◽  
Vol 70 (4) ◽  
pp. 906-909 ◽  
Author(s):  
Casula Claudia ◽  
Ranalli Claudia ◽  
Ognibene Agostino ◽  
Magazzini Simone ◽  
Grifoni Stefano
Keyword(s):  
Head Injury ◽  
Intracranial Hemorrhage ◽  
Minor Head Injury

Risk of Intracranial Hemorrhage and Short-Term Outcome in Patients with Minor Head Injury

2020 ◽  
Vol 141 ◽  
pp. e851-e857
Author(s):  
Chika Yamada ◽  
Shinji Hagiwara ◽  
Hidenori Ohbuchi ◽  
Hidetoshi Kasuya
Keyword(s):  
Head Injury ◽  
Intracranial Hemorrhage ◽  
Minor Head Injury ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome

scholarly journals Evaluation of S100B in the diagnosis of suspected intracranial hemorrhage after minor head injury in patients who are receiving platelet aggregation inhibitors and in patients 65 years of age and older

2015 ◽  
Vol 123 (5) ◽  
pp. 1202-1208 ◽  
Author(s):  
Heinrich Wolfgang Thaler ◽  
Jochen Schmidsfeld ◽  
Michael Pusch ◽  
Simon Pienaar ◽  
Jörg Wunderer ◽  
...  
Keyword(s):  
Platelet Aggregation ◽  
Head Injury ◽  
Hospital Admission ◽  
Antiplatelet Therapy ◽  
Intracranial Hemorrhage ◽  
Predictive Value ◽  
Older Patients ◽  
Platelet Aggregation Inhibitors ◽  
Minor Head Injury ◽  
Aggregation Inhibitors

OBJECT Cranial CT (CCT) scans and hospital admission are increasingly performed to rule out intracranial hemorrhage in patients after minor head injury (MHI), particularly in older patients and in those receiving antiplatelet therapy. This leads to high radiation exposure and a growing financial burden. The aim of this study was to determine whether the astroglial-derived protein S100B that is released into blood can be used as a reliable negative predictive tool for intracranial bleeding in patients after MHI, when they are older than 65 years or being treated with antiplatelet drugs (low-dose aspirin, clopidogrel). METHODS The authors conducted a prospective observational study in 2 trauma hospitals. A total of 782 patients with MHI (Glasgow Coma Scale Score 13–15) who were on medication with platelet aggregation inhibitors (PAIs) or were age 65 years and older, independent of antiplatelet therapy, were included. Clinical examination, bloodwork, observation, and CCT were performed in the traumatology emergency departments. When necessary, patients were admitted and observation took place on the ward; in these patients, CCT was performed during their hospital stay. Patients with severe trauma, focal neurological deficits, posttraumatic seizures, anticoagulant therapy, alcohol intoxication, coagulation disorder, blood sampling more than 3 hours after trauma, and unknown time of the trauma were excluded from the study. The median age of the patients was 83 years, and 69% were female. Sensitivity, specificity, and positive and negative predictive values of S100B with reference to CCT findings were calculated. The cutoff of S100B was set at 0.105 μg/L. RESULTS Of the 782 patients, 50 (6.4%) had intracranial bleeding. One patient with positive results on CCT scan showed an S100B level below 0.105 μg/L. Of all patients, 33.1% were below the cutoff. S100B showed a sensitivity of 98.0% (CI 89.5%–99.7%), a negative predictive value of 99.6% (CI 97.9%–99.9%), a specificity of 35.3% (CI 31.9%– 38.8%), and a positive predictive value of 9.4% (CI 7.2%–12.2%). CONCLUSIONS Levels of S100B below 0.105 μg/L can accurately predict normal CCT findings after MHI in older patients and in those treated with PAIs. Combining conventional decision criteria with measurement of S100B can reduce the CCT scan and hospital admission rates by approximately 30%.

S100-B Protein as a Screening Tool for the Early Assessment of Minor Head Injury

2012 ◽  
Vol 59 (3) ◽  
pp. 209-218 ◽  
Author(s):  
Drissa Zongo ◽  
Régis Ribéreau-Gayon ◽  
Françoise Masson ◽  
Magali Laborey ◽  
Benjamin Contrand ◽  
...  
Keyword(s):  
Head Injury ◽  
Screening Tool ◽  
Minor Head Injury ◽  
Early Assessment

EEG spectral analysis after minor head injury in man

1988 ◽  
Vol 70 (2) ◽  
pp. 185-189 ◽  
Author(s):  
M.T. Tebano ◽  
M. Cameroni ◽  
G. Gallozzi ◽  
A. Loizzo ◽  
G. Palazzino ◽  
...  
Keyword(s):  
Spectral Analysis ◽  
Head Injury ◽  
Minor Head Injury ◽  
Eeg Spectral Analysis

scholarly journals Transiet atrial fibrillation after minor head injury.

Heart ◽  
1976 ◽  
Vol 38 (9) ◽  
pp. 984-985 ◽  
Author(s):  
Marshall
Keyword(s):  
Atrial Fibrillation ◽  
Head Injury ◽  
Minor Head Injury

Auditory Brain Stem Responses in the Prognosis of Late Postconcussional Symptoms and Neuropsychological Dysfunction after Minor Head Injury

Neurosurgery ◽  
1986 ◽  
Vol 19 (4) ◽  
pp. 532-534 ◽  
Author(s):  
Rudolf Schoenhuber ◽  
Massimo Gentilini
Keyword(s):  
Head Injury ◽  
Brain Stem ◽  
Neuropsychological Tests ◽  
Statistical Difference ◽  
Minor Head Injury ◽  
Mental Function ◽  
Postconcussion Syndrome ◽  
Neuropsychological Dysfunction ◽  
Auditory Brain Stem Responses ◽  
Auditory Brain Stem

Abstract Thirty patients suffering from minor head injury were examined with auditory brain stem responses (ABR), neuropsy-chological tests for assessment of higher nervous functions, and a questionnaire on postconcussional symptoms. Comparison of the 6 patients with altered ABR with the other 24 showed no statistical difference in either the number of long-lasting postconcussional symptoms or the scores on neuropsychological tests. Subclinical brain stem involvement as shown by ABR does not seem to correlate with impaired mental function or symptoms of the postconcussion syndrome. This greatly limits the use of ABR in forensic medicine.

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