Current Concepts in Diagnosis and Treatment of Traumatic Brain Injury: Implications for Healthcare in Nepal
Journal Title: Nepal Journal of Neuroscience - Year 2005, Vol 2, Issue 1
Abstract
Taumatic brain injury (TBI) is a leading cause of disability and death in the industrialized and in the developing world. With an incidence of 200-400 cases per 100.000, head injuries are a major contributor to socio-economic costs. The 20% suffering from severe head injury (SHI) requiring prolonged intensive care and/or neurosurgical intervention are of particular interest to specialist practitioners from multiple disciplines. This review covers the current concepts of diagnosis and treatment in these patients in the Western world, i.e. mainly the US and Western Europe. Special emphasis is laid upon evidence-based guidelines established during the last decade. Comparison is drawn to the current status of trauma care in Nepal. Management strategies for TBI can not be applied to Nepalese healthcare entirely. Effective management of head injured persons in Nepal is affected by its difficult geographical location, unavailability of trained personnel in the field, and difficulty in transporting the patients due to the lack of motorable roads. While some of the equipment for the treatment of TBI victims is readily available (e.g. ventricular drainage), others are scarce (e.g. operating room capacity, intensive care facilities) or completely unavailable (e.g. emergency medical service providers, specialized monitoring equipment). Realistic proposals for improvement of the current situation are made
Authors and Affiliations
Oliver W. Sakowitz, MD, Dr.
Keywords
Related Articles
- EP ID EP382038
- DOI -
- Views 110
- Downloads 0
A large Intradural Intramedullary Pilocytic Astrocytoma of Spinal Cord: Complete Resection with Improved Neurology
Intramedullary tumors of spinal cord are rare. We present a case of Pilocytic astrocytoma of spinal cord in a 9-year-old girl who presents with tetraparesis. Although the ideal management of astrocytoma of spinal cord is...
Coexistence of Two Different Types of Intracerebral Hematomas Caused by Arteriovenous Malformation
Spontaneous intracerebral hematomas usually produce the sudden onset of devastating neurological symptoms. We describe a case showing slowly progressive clinical symptoms followed by a sudden deterioration caused by two...
Test
Test
Brief Review of Machine Learning in Neurosurgery
Learning from experience is inherent to animals and humans and when used in computer models it is termed as Machine learning (ML) which was coined by Arthur Samuel the pioneer of computer gaming and artifi cial intellige...
A Child with Roberts Syndrome: A Case Report
rare birth defect causing, skeletal deformities, particularly symmetrical limb reduction and craniofacial anomalies. For any child with limb and craniofacial bony malformations, this syndrome should be considered in the...