NP: Chapter 15 Traumatic Brain Injury Flashcards
what is the most common type of acquired brain injury among ppl under 50 years
traumatic brain injury
traumatic meaning…
injury is caused by violence/mechanical force that affects the skull from the outside
TBI can result in …. disorders
sensi-motor
neuropsychological
retrograde amnesia =
time before the accident, dus oude herinneringen
anterograde amnesia
after the accident, not being able to make new memories
hoeveel mensen met TBI hospitalized in europe each year
1.6 mil
how many people die from TBI
66.000
in NL hoeveel mensen per jaar
85000 (maar underestimation)
welke groep krijgt de meeste TBI
between 15-24 years old
gender bij TBI?
mannen 2x zo vaak
2 mechanisms of pathology bij TBI
- primary damage, caused by biomechanical forces that affect the skull and brain
- secondary damage caused by complications
primary damage 2 vormen
open: objects of bone fragments penetrate the meninges
closed: veel vaker, more diffuse damage (white matter injuries, contusions (grey matter damage due to linear impact zoals hoofd stoten))
secondary damage is…
door complications -> autoregulating is failing -> insufficient oxygen -> necrosis (hypoxia)
TBI ALWAYS results in …
impairments in consciousness! of het nou coma of een lichte clouding is.
wat is de transition point voor mild vs moderate-severe brain injury
als de unconsciousness for at least 15 min, and if the post-traumatic amneasia lasts 60 minutes or longer.