Posts Tagged ‘head injury’
Ahead of Print: Clinical Utility of Serum Levels of Ubiquitin C-Terminal Hydrolase As A Biomarker for Severe Traumatic Brain Injury
BACKGROUND: Brain damage markers released in cerebrospinal fluid (CSF) and blood may provide valuable information about diagnosis and outcome predictionafter traumaticbrain injury (TBI).
OBJECTIVE: This study examined concentrations of a novel brain injury biomarker Ubiquitin C-terminal Hydrolase-L1 (UCH-L1) in CSF and serum of severe TBI patients and their association with clinical characteristics and outcome.
METHODS: This case-control study enrolled ninety-five severe TBI subjects (Glasgow Coma Score [GCS]<=8). Using sensitive UCH-L1 sandwich ELISA, we studied the temporal profile of CSF and serum UCH-L1 levels over 7 days for severe TBI patients.
Soccer is the world’s most popular sport and unique in that players use their unprotected heads to intentionally deflect, stop or redirect the ball for both offensive and defensive strategies. Headed balls travel at high velocity pre- and post-impact. Players, coaches, parents and physicians are justifiably concerned with soccer heading injury risk. Furthermore, risk of long term neurocognitive and motor deficits due to repetitively heading a soccer ball remains unknown. We review the theoretical concerns, the results of biomechanical laboratory experiments and the available clinical data regarding the effects of chronic, sub-concussive head injury during heading in soccer.
Free Article: Neurosurgical Considerations After Bull Goring During Festivities in Spain and Latin America
Bullfighting is a highly popular activity during festivities in Spain and Latin America. A scientific society for bullfight injuries, Congreso Internacional de Cirugía Taurina, was founded on November 24, 1974, in recognition of the distinctive pattern of injury that results from bull goring, and a subspecialty of general surgical trauma with emphasis on the acute surgical management of bull-goring injuries has emerged. Injuries to the head and neck are less frequent than genitourinary, inguinal, and abdominal injuries, but are more severe and more likely to result in death. This report reviews the primary venues in which bull goring and associated injuries occur, including the bullfight and the running of the bulls. The biomechanics of the primary and secondary goring injuries are reviewed, with an emphasis on those with the potential to result in neurosurgical injuries. This results in a very unique and devastating pattern of injury that combines penetrating and blunt mechanisms and results in polytrauma. Neurosurgical expertise should be immediately available on-site in the event of a life-threatening neurological injury.
Editor Choice: The Effectiveness of Interventions to Reduce Neurological Injuries in Rugby Union: A Systematic Review
Full article access for Neurosurgery subscribers.
Michael D. Cusimano MD, PhD, Farshad Nassiri, HBSc, Youjin Chang, B Arts Sc,
OBJECTIVE: To evaluate the effectiveness of current neurological injury prevention strategies in rugby union.
METHODS: Systematic review in May 2010. We assessed the quality and content of studies that evaluated injury prevention strategies for rugby players and reported on neurological outcomes. We searched OVID Medline, OVID HealthStar, CINAHL, Sport Discus, PubMed, Scholar’s Portal Physical Education Index, Web of Science, and the Cochrane Controlled Clinical Trials Register (CENTRAL) and conducted a manual search of the cited literature lists of each included study.
Canadian Press reports that a team of researchers from pediatric institutions across Canada has developed a set of rules to help doctors decide whether a child with a minor head injury should receive a CT scan.
There are currently no widely-accepted, evidence-based guidelines on the use of CT scans in children with minor head injuries caused by falls and other accidents, said lead author Dr. Martin Osmond, an emergency room physician at the Children’s Hospital of Eastern Ontario.
The CATCH (Canadian Assessment of Tomography for Childhood Injury) rules are intended to help standardize the use of CT scans and eliminate those that are unnecessary, he said.