tbi/stroke

Question 1

explain the glasgow coma scale

Answer 1

• uses verbal, ocular and motor cues to evaluate TBI severity
• can be better than imaging for informing treatment
• lower score = worse

Question 2

explain the glasgow outcome scale

Answer 2

• used longitudinally to track patient recovery
• used to determine type of TBI
• more subjective
• lower score = worse

Question 3

what are the three categories of TBI

Answer 3

• mild tbi/concussion
• cte
• severe tbi

Question 4

symptoms of mild tbi

Answer 4

seizures, amnesia, sensitivity to light and sound

Question 5

symptoms of cte

Answer 5

short term memory loss, behavioral changes, confusion and disorientation

Question 6

describe the difference between epidural, subdural, and intracranial hematomas

Answer 6

epidural- under the skull, symptoms develop quickly, arterial bleeding
subdural- below dura, symptoms develop hours/days after, venous bleeding
intracranial- in the brain/stroke-like

Question 7

uncal herniation compresses what? what kinds of symptoms appear?

Answer 7

• uncus compresses midbrain, affecting descending corticospinal fibers
• blown pupil, weakness in contralateral pupil, loss of consciousness, decorticate posturing

Question 8

tonsillar herniation compresses what? what kinds of symptoms appear?

Answer 8

• tonsillar compresses medulla, deep coma, increased ICP, slowed breathing, headache

Question 9

chiari malformations are considered the idopathic version of which type of herniation?

Answer 9

tonsillar