What is a Contusion Cervical? - Oren Zarif - Contusion Cerebral
A contusion cerebral is a serious type of brain injury caused by a violent movement of the head. The brain slams against the skull, causing internal bleeding and swelling. The secondary injury is often more severe than the original injury, requiring emergency medical attention. Here is what you should know if you have suffered a brain contusion. Read on to learn more about the symptoms, treatment, and possible complications. In some cases, surgical intervention is required to reduce the pressure inside the skull.
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A cerebral contusion may appear anywhere in the brain, with certain locations being more prone to developing than others. A CT scan is usually the first imaging test used to evaluate a contusion cerebral. The sensitivity of the test is almost 100 percent. It can detect hemorrhage in any part of the brain. The image of a concussion will vary by location and will look like a bruise on a brain.
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Among patients with a CC, a CT scan may help determine the size of the injury. The volume of the contusion and the edema band on CT can help predict the prognosis. When a patient is diagnosed with a CC, a CT scan is typically performed on the third day of hospitalization. If the patient suffers from multiple CCs, a CT scan of the brain of the affected side can be used to assess the extent of the injury.
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The most common sites for a cerebral contusion are the frontal lobes, which make up about 50% of the brain. The occipital lobes are also highly vulnerable to cerebral ischaemia because they are situated on the border of three major cerebral arteries. The frontal lobes receive more blood than the rest of the brain. Consequently, a head contusion may result in the death of several vital brain cells.
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Initial care for a cerebral contusion associated with TBI usually includes the emergency physician, trauma surgeon, and neurosurgeon. Nurses are crucial in monitoring vital signs and making treatment decisions. A blood bank or clinical laboratory provides important elements for decision making. Patients with moderate to severe TBI are stabilized in a neurointensive care unit (NICU) to reduce secondary brain damage and facilitate the transition to a recovery environment. If the patient requires surgery, the medical team will coordinate the transition.
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If a head CT scan is not possible, a sedative may be given to help the patient feel more comfortable. In addition to the head CT, an intraparenchymal drainage device may be used to drain the cerebrospinal fluid. In addition to sedative medications, patients with a cerebral contusion are given medication for seven days. A patient may receive hypertonic saline (H-sox) to lower the ICP.
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A surgical intervention is often necessary to relieve high intracranial pressure or repair skull fractures. However, patients with severe traumatic brain injury may require an emergency surgery for the treatment of their condition. Although surgical treatment is not necessary, patients with moderate to severe brain injuries are more susceptible to seizures. In severe cases, seizures and bleeding may occur after the procedure. During the first week after a brain injury, antiseizure medications are recommended to help prevent seizures.
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