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Types of Contusion Cervical - Oren Zarif - Contusion Cerebral

  • Writer: Oren Zarif
    Oren Zarif
  • May 25, 2022
  • 3 min read

The exact incidence of contusion cerebral is unknown because it is difficult to detect in vivo. Its low incidence may be attributed to perinatal blunt trauma and the relative resiliency of the neonatal cranium and cerebral mantle. In addition, the resiliency of the neonatal brain is associated with a low incidence of cerebral contusion at later ages. The main risk factors of concussion cerebral are blunt trauma, head injury, and traumatic brain injury.

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The most common type of contusion cerebral occurs in the temporal lobe and frontal lobes but can occur anywhere in the brain. The injury disrupts tissue and vessels and results in a devitalized wedge-shaped area. These lesions may also contain punctate hemorrhages that extend into adjacent subcortical white matter. Subarachnoid bleeding always accompany cerebral contusions. Hemorrhage from brain contusions can progress to necrosis and reactive gliosis.

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Fortunately, there are ways to treat a contusion. First, the injured area should be elevated and rested. In addition to resting, heat can also accelerate blood absorption. Although a contusion can be traumatic, it does not need immediate medical intervention. In severe cases, infection can lead to serious complications. Usually, blood will drain out of the bruised area within a few days, but in some cases, blood clots can form and may even lead to cysts.

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The most common type of contusion in the brain is called a "cortical" contusion. This is because a contusion in the brain's cortex must involve the entire cortical area. Acute brain contusions are usually low-density lesions. However, the most severe types are hemorrhagic and edematous. This type of contusion is most common in the frontal lobe.

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Severe brain contusions can cause concussion-like symptoms. Regardless of the type, it is critical to see a physician as soon as possible to prevent permanent damage. Treatment options will depend on the severity of the contusion. Minor contusions usually recover on their own with bed rest and some over-the-counter medications. Moderate and severe contusions, however, may require invasive surgery and months-long recovery periods.

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Initial care for cerebral contusions associated with TBI is often coordinated by an emergency clinician, trauma surgeon, and neurosurgeon. A nurse will be tasked with monitoring vital signs and coordinating respiratory therapy. A clinical laboratory and blood bank will provide critical elements for treatment decisions. The neurointensivist will coordinate the use of a ventilator. Lastly, a radiologist will play a critical role in monitoring imaging of the brain.

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The symptoms of a cerebral contusion may be similar to a bruise on other body parts. They may be caused by multiple microhemorrhages. In about 20-30% of severe head injuries, a cerebral contusion may occur. A similar injury, cerebral laceration, can lead to a stroke or a brain herniation. So, if you're in doubt, get an accurate diagnosis from your doctor.

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When patients have multiple CC, the CT image reading software should record the average CT value for every CC. This will allow you to compare the average CT value of each area. It is important to note that a patient with multiple CC should be evaluated by physical therapists. The integrated care pathway should be based on an evidence-based approach. However, physical therapists should be consulted to help with early ambulation.

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After a head CT scan, management of intracranial pressure is the most important consideration. In severe cases, a cerebral contusion may require the use of intraparenchymal devices. Patients are typically given anti-epileptic medications, seizure prophylaxis, and a reversal of any neurological abnormalities. A patient with an increase of ICP should be monitored for seven days before undergoing further testing.

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The main artery that supplies the brain is often damaged, and the corresponding hemisphere is frequently affected. In a large majority of cases, focal perfusion deficits are localised in the frontal lobe, which account for 50% of brain volume. The other lobes, including the occipital lobe, are equally vulnerable. The occipito-parietal border is particularly vulnerable to cerebral ischaemia.

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Intracranial hematomas form when the blood in the brain accumulates following a head injury. The symptoms of this type of injury are persistent headache, drowsiness, confusion, and memory impairment. They vary widely according to the location of the brain that is damaged. The other type of cerebral contusion, called subarachnoid hemorrhage, usually does not develop. It may develop in a small portion of the brain and is more likely to occur in a head injury.

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