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Prognosis in Patients With Severe Head Injury

  • B. Jennett
  • G. Teasdale
  • S. Galbraith
  • R. Braakman
  • C. Avezaat
  • J. Minderhoud
  • J. Heiden
  • T. Kurze
  • G. Murray
  • L. Parker
Part of the Acta Neurochirurgica book series (NEUROCHIRURGICA, volume 28)

Abstract

Data been collected prospectively on patients with severe head injury—studied in collaboration between Glasgow, Rotterdam, Groningen, and Los Angeles1. This data bank allows detailed analysis of the relationship between early features in the head-injured patient at various stages in the first week after injury, and ultimate outcome. All patients were in coma for at least six hours after injury, although in a third of cases this developed only after a period of relative lucidity. Coma was defined as “no eye-opening, no uttering of words, no obedience to commands”, no matter how strong a stimulation was applied. This definition is comparable to that suggested by the Coma Committee of the WFNS—a state of “unrousable unresponsiveness”2. Severity in the early stages after injury has been assessed by clinical criteria: responsiveness on the Glasgow Coma Scale, abnormal motor patterns, pupillary responses, eye movements, and autonomic responses.

Keywords

Glasgow Coma Scale Data Bank Severe Head Injury Pupillary Response Intracranial Haematoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Jennett, B., Teasdale, G., Galbraith, S., Pickard, J., Grant, H., Braakman, R., Avezaat, C., Maas, A., Minderhoud, J., Vecht, C. J., Heiden, J., Small, R., Caton, W., Kurze, T., Severe head injuries in three countries. J. Neurol. Neurosurg. Psychiat. 40 (1977), 291 298.Google Scholar
  2. 2.
    Frowein, R. A., Classification of coma. Acta Neurochir. (Wien) 34 (1976), 5 10.Google Scholar
  3. 3.
    Teasdale, G., Parker, L., Murray, G.. Jennett, B., Comparing series of head injured patients. Proceedings of the European Association of Neurosurgical Societies. Paris, July 1979.Google Scholar
  4. 4.
    Teasdale, G., Parker, L., Murray, G., Knill-Jones, R., Jennett, B., Predicting the outcome of individual patients in the first week after severe head injury. Proceedings of the European Association of Neurosurgical Societies. Paris, July 1979.Google Scholar
  5. 5.
    Teasdale, G., Galbraith, S., Acute traumatic intracranial haematomas. Progress in Neurological Surgery, Vol. 10. Basle: Karger. In Press.Google Scholar

Copyright information

© Springer-Verlag Wien 1979

Authors and Affiliations

  • B. Jennett
    • 1
  • G. Teasdale
    • 1
  • S. Galbraith
    • 1
  • R. Braakman
    • 1
  • C. Avezaat
    • 1
  • J. Minderhoud
    • 1
  • J. Heiden
    • 1
  • T. Kurze
    • 1
  • G. Murray
    • 1
  • L. Parker
    • 1
  1. 1.Universities of GlasgowGroningen, RotterdamUSA

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