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Traumatic Head Injury

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Critical Care Neurology and Neurosurgery

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

The role of neuroscience intensive care in the patient with traumatic brain injury (TBI) has advanced rapidly over the past few decades. Injury induced by trauma is not limited to vascular distributions of the brain or anatomically discrete regions. As our understanding of the biochemical and pathophysiologic mechanisms of ischemia, seizure, and neurodegenerative disease has evolved so has our recognition that the mechanism of damage in TBI probably encapsulates similar cellular mechanisms of injury. The penumbra at risk for secondary injury in severe TBI is often larger than a vascular distribution and the course more progressive, requiring rapid and often multiple levels of acute neurosurgical and neurologic care. With the advent of neuroscience critical care units (NSUs), these needs are being systematically addressed. In this chapter we will review the primary aspects of TBI, including its epidemiology, mechanisms of injury, early management, monitoring, and prognosis.

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Authors
  1. Sandra Kuniyoshi
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  2. Jose I. Suarez
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Editors and Affiliations

  1. Neurosciences Critical Care, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, OH, USA

    Jose I. Suarez MD

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Kuniyoshi, S., Suarez, J.I. (2004). Traumatic Head Injury. In: Suarez, J.I. (eds) Critical Care Neurology and Neurosurgery. Current Clinical Neurology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-660-7_22

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  • DOI: https://doi.org/10.1007/978-1-59259-660-7_22

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