Prognostic Factors in Acute Head Injuries—Brain Stem Contusion During the First Week
In deep unconsciousness the estimation of the intracranial state is based on the evaluation of intracranial pressure, dynamic neurological signs, and vital functions. In comatose patients showing general clinical signs of brain stem injury, neurological examination is directed towards brain stem reflexes which may indicate the anatomical level of the lesion. At the same time, brain stem reflexes, as the integral part of the total clinical picture immediately after injury, may be used as one of the factors for early prognosis. Generally speaking, the level of intracranial pressure, motor postural reflexes, and brain stem reflexes almost always provide a forecast of the results of severe craniocerebral injuries and particularly brain stem injuries (primary and secondary).
KeywordsBrain Stem Comatose Patient Intracranial Haematoma Brain Stem Lesion Craniocerebral Injury
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