Modern approaches to the management of traumatic brain injury

The authors report on the problem of Traumatic Brain Injury(TBI) and main ways of its solution. Special emphasis is beingplaced on literature data bank and personal experience in studyingand making precise diagnosis of diffuse and focal brain damageusing Diffuse-tensor MRI (DT-MRI) and its other mod...

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Main Authors: A. A. Potapov, L. B. Likhterman, A. D. Kravchuk, V. N. Kornienko, N. E. Zakharova, A. V. Oshorov, M. M. Filatova
Format: Article
Language:English
Published: Research Center of Neurology 2017-02-01
Series:Анналы клинической и экспериментальной неврологии
Subjects:
Online Access:https://annaly-nevrologii.com/journal/pathID/article/viewFile/354/250
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author A. A. Potapov
L. B. Likhterman
A. D. Kravchuk
V. N. Kornienko
N. E. Zakharova
A. V. Oshorov
M. M. Filatova
author_facet A. A. Potapov
L. B. Likhterman
A. D. Kravchuk
V. N. Kornienko
N. E. Zakharova
A. V. Oshorov
M. M. Filatova
author_sort A. A. Potapov
collection DOAJ
description The authors report on the problem of Traumatic Brain Injury(TBI) and main ways of its solution. Special emphasis is beingplaced on literature data bank and personal experience in studyingand making precise diagnosis of diffuse and focal brain damageusing Diffuse-tensor MRI (DT-MRI) and its other modalities.A comparative analysis of DT-MRI findings in 8 healthyvolunteers and 22 patients in coma with severe diffuse axonalinjury (DAI) at the period of 217 days after trauma demonstratedsignificant changes in the corpus callosum and corticospinaltracts (CST) caused by DAI. Fractional anisotropy wasconsidered the most sensitive indicator of their damage in theearly stage of DAI. The authors developed and described a newapproach to the management of brain concussion which allows out-patient treatment of such patients provided there is no focaldamage at GCS 15 and on condition thorough neurological andregular CT- and MRI examinations are performed.
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spelling doaj.art-8acf93a5b4a5446fba30bf846a64c7ba2022-12-22T03:29:32ZengResearch Center of NeurologyАнналы клинической и экспериментальной неврологии2075-54732409-25332017-02-014141210.17816/psaic354250Modern approaches to the management of traumatic brain injuryA. A. Potapov0L. B. Likhterman1A. D. Kravchuk2V. N. Kornienko3N. E. Zakharova4A. V. Oshorov5M. M. Filatova6The Burdenko Neurosurgery Institute, MoscowThe Burdenko Neurosurgery Institute, MoscowThe Burdenko Neurosurgery Institute, MoscowThe Burdenko Neurosurgery Institute, MoscowThe Burdenko Neurosurgery Institute, MoscowThe Burdenko Neurosurgery Institute, MoscowThe Burdenko Neurosurgery Institute, MoscowThe authors report on the problem of Traumatic Brain Injury(TBI) and main ways of its solution. Special emphasis is beingplaced on literature data bank and personal experience in studyingand making precise diagnosis of diffuse and focal brain damageusing Diffuse-tensor MRI (DT-MRI) and its other modalities.A comparative analysis of DT-MRI findings in 8 healthyvolunteers and 22 patients in coma with severe diffuse axonalinjury (DAI) at the period of 217 days after trauma demonstratedsignificant changes in the corpus callosum and corticospinaltracts (CST) caused by DAI. Fractional anisotropy wasconsidered the most sensitive indicator of their damage in theearly stage of DAI. The authors developed and described a newapproach to the management of brain concussion which allows out-patient treatment of such patients provided there is no focaldamage at GCS 15 and on condition thorough neurological andregular CT- and MRI examinations are performed.https://annaly-nevrologii.com/journal/pathID/article/viewFile/354/250head injuryneuroprotectionmridiffuse axonal injurybrain concussion
spellingShingle A. A. Potapov
L. B. Likhterman
A. D. Kravchuk
V. N. Kornienko
N. E. Zakharova
A. V. Oshorov
M. M. Filatova
Modern approaches to the management of traumatic brain injury
Анналы клинической и экспериментальной неврологии
head injury
neuroprotection
mri
diffuse axonal injury
brain concussion
title Modern approaches to the management of traumatic brain injury
title_full Modern approaches to the management of traumatic brain injury
title_fullStr Modern approaches to the management of traumatic brain injury
title_full_unstemmed Modern approaches to the management of traumatic brain injury
title_short Modern approaches to the management of traumatic brain injury
title_sort modern approaches to the management of traumatic brain injury
topic head injury
neuroprotection
mri
diffuse axonal injury
brain concussion
url https://annaly-nevrologii.com/journal/pathID/article/viewFile/354/250
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AT vnkornienko modernapproachestothemanagementoftraumaticbraininjury
AT nezakharova modernapproachestothemanagementoftraumaticbraininjury
AT avoshorov modernapproachestothemanagementoftraumaticbraininjury
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