【医学课件】 Paediatric Traumatic Brain Injury.ppt

SIMILAR PFROPORTIONS OF MALES AND FEMALES-PCS MSIMILAR CAUSES OF INJURY N=334FOR YOUNG VERSUS OLDER CASES SIMILAR INCIDENCE OF LOSS OF CONSCIOUSNESS AMNESIA N=334 SIMILAR TYPES OF CONCUSSION SYMPTOMS YOUNGER PEOPLE HAVE SIMILAR BALANCE AND COGNITIVE SYMPTOMS SIMILAR PSYCHOLOGICAL SYMPTOMS  SUMMARY OF AGE AND GENDER DIFFERENCES Gender contrast There were no major differences among adolescent boys and girls, but in adults, there was a greater number of females. Mechanism of Injury Sport was the main cause of concussion in both age groups, and MVA and Falls were the second and third causes of injury in adults. Sport was especially common in young people Postconcusion Symptoms PCS patients in both age groups experienced more neurological symptoms than psychological symptoms. Headache, memory problem and balance impairment were the main neurological symptoms.Depression, irritability and fatigue were the main psychological symptoms. TREATMENT OF PCS Vestibular therapy-repositioning Physiotherapy for accompanying whiplash Acupuncture Analgesics for non-specific headaches Specific anti-migraine meds for migraine Psychotherapy or meds for depression and anxiety Initial SymptomsAmnesia Loss of Consciousness*Headaches Nausea/VomitingDizziness Loss of Vision Poor Concentration Etc. SYMPTOMS AFTER CONCUSSION*NOTE – SYMPTOMS VARY AMONG PATIENTS* HOURS-DAYS 1 2 Later symptomsMemory Loss Fatigue InsomniaBlurred Vision Vertigo Personality ChangeDouble Vision Seizures Sensitivity to Light Ringing in Ears Sleepiness Irritability Etc. Late symptomsDementia Depression/Anxiety Suicide Homicide Etc. 3 YEARS Animated Slide Click to continue! Click to continue! Click to continue! Can You Diagnose a Concussion on a CT Scan or MRI? NO! Animated Slide Click to continue! Routine CT and MRI are always normal after concussion If there is a lesion identified, it is more than a concussion CONCUSSION DIAGNOSIS The diagnosis of con