6.2.1 Traumatic Brain Injury Flashcards
What is the difference between a central and lateral brain herniation?
Central - Midsize, bilateral non-reactive pupils
Lateral - Unilateral dilated non-reactive pupils
What is an epidural hematoma?
How can severity differ in regards to torque applied to the brain?
Where can injuries occur to the following nerves:
Olfactory
CN7
CN 8
CN 4
CN12
What are some clinical manifestations of a concussion?
What are the characteristics of brain edema?
Vasgenic - disruption of BBB leading to EC edema affecting white matter capilaries
Cytotoxic - cerebral ischemia leading to EC water passing into neurons resulting in swelling, inability to maintain ATP-Na/K pump
Describe the autoregulation of Cerebral blood flow in regards to BP
As blood pressure is increases arterioles will vasoconstrict in order to maintain normal cerebral blood flow
What are the two types of Traumatic injuries that can happen to the brain?
Penetrating and Blunt injuries
Describe the autoregulation cerebral blood flow in regards to pCO2
Increase in pCO2 will cause an increase in CBF this is due to maintaining normal pH of the blood in the brain
What are the different types of cranial bleeding?
Subdural
Epidural
Intracerebral
Differentiate between primary and secondary injuries.
Primary - occur at the time of the trauma
Secondary - Complications subsequent to the trauma
Intracranial pressure is normally?
15
What is a brain laceration?
Visible tear in the brain
Where are the 4 instances that the brain can herniate?
What is angular acceleration in relation to traumatic brain injury?