What is a Contusion Cerebral? - Oren Zarif - Contusion Cerebral
A contusion cerebral is a type of traumatic brain injury. The symptoms of this type of injury may include a headache, difficulty with memory, or problems with balance and coordination. Although these symptoms generally develop within days, they may be delayed or absent entirely. People may experience other types of injuries as well, including additional brain injuries. Because of this, it is critical to seek medical care as soon as possible after sustaining a brain injury.
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A cerebral contusion is an extremely severe form of traumatic brain injury, involving multiple microhemorrhages and bruising of the brain tissue. It occurs in 20-30% of severe head injuries. A concussion, on the other hand, does not involve any visible damage to the brain. The difference is that a concussion only affects a person's mental functions, and a contusion affects the brain's structure and function.
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Initial care of a patient with a cerebral contusion is provided by an emergency physician, a trauma surgeon, and an intensivist. Nurses monitor vital signs and administer anti-seizure medications. Patients with a cerebral contusion may be given anti-infection medications, since any device placed in the patient's head can introduce microbes. A surgical procedure may be necessary to relieve the high intracranial pressure and repair fractured skull bones.
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A contusion cerebral can occur in the frontal or temporal lobe. A contrecoup contusion may occur on the opposite side of the impact or on an area far from the impact site. A concussion can affect any part of the brain, but is most often associated with the frontal and temporal lobes. A typical hemorrhagic contusion is shown in figure 103-1. The brain tissue is bruised when a fracture occurs on the surrounding bone.
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A study published in JAMA Neuroradiology showed that a CT grading method for cerebral edema was an independent predictor of patient outcome. Lietke et al. reported that a high-quality CT grading method could improve the diagnostic accuracy of CT scans and increase the accuracy of CC diagnosis by a clinician. They also found a significant relationship between BE and the level of intracranial pressure, making the procedure a valuable tool in the diagnosis of patients with concussions.
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A traumatic brain injury can also cause bleeding or swelling in the brain tissue. These injuries can range in severity from a mild concussion to a life-threatening coma. A physician should be consulted immediately if a patient experiences one of these injuries. There are also a range of treatment options available for contusion cerebral. The first step is to seek medical care if the traumatic event causes bleeding into the brain.
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The second step in treatment involves surgery. A neurosurgeon may perform craniotomy, a procedure in which a hole is cut in the skull to expose the brain. A bone flap is then inserted and secured to the skull with screws or plates. In some cases, the neurosurgeon may opt to place an ICP monitor or other types of monitors. The flap is replaced about six weeks after surgery. This surgery may be accompanied by several follow-up procedures.
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