Traumatic Brain Injury Flashcards
is concussion considered a TBI?
Yes a mild TBI
What is a traumatic brain injury (TBI) ?
A physical injury to brain tissue that temporarily or permanently impairs brain function
TBI - causes
- Direct blow or penetrating object
- Indirect forces ex: inertia during a motor vehicle accident
TBI - penetrating head injury %
25% of TBI
TBI - closed head injury %
75% of TBI
TBI - what are classifications based on
- Severity
- mechanism of injury
TBI - Classification of severity (3)
- Mild
- Moderate
- Severe
TBI - Classification of mechanism of injury
- closed head injury
- penetrating head injury
TBI - aspects affected (5)
- Physical capability
- Cognitive ability
- Emotional state
- Social interactions
- Behavior
TBI - increase risks of (3)
- Epilepsy
- Alzheimer’s disease
- Parkinson’s disease
TBI - can the side of brain lesion predict type of impairments and disability?
Yes
TBI - People U-35
- Leading cause of death and disability for people U-35
TBI - Incidence % men vs women and why
- 21 % women, 79% men
- Men higher bc young male takes more risk
TBI - Number of case
- 65 000 new cases / years in CAN
- 20% die
- 10 to 20 % survive w/ severe impairments
- Others learn to live with impairments
Incidence of TBI diagram - 3 things to look at
age group, overall reason and other
Incidence of TBI diagram - age group with highest rate
- 15-24 yo
Incidence of TBI diagram - reasons of TBI
- 28% motor vehicle
- 20% sports
- 9% assault
- rest other
Incidence of TBI diagram - age group with highest rate associated to sport
- less than 15 yo
- 15 to 24 yo
Incidence of TBI diagram - highest risk with people older than 64 yo
Falling
Types of TBI
- Penetrating head injury
- Closed head injury
- focal
- diffuse
Types of TBI - penetrating head injury
Injury where brain tissue is damage by an object that has pierced the skull and dura mater
Types of TBI - Closed head injury
Injury in which the skull and dura mater are not breached
TBI - focal
Confined to a specific area of the brain causing localized damage
TBI - diffuse
characterized by damage throughout the brain
Types and causes - Hematoma
Collection of blood outside blood vessel
Types and causes - Hemorrhage
Bleeding directly into the brain tissue
Types and causes - Diffuse Axonal injury
Tearing of nerve bundles and/or stretching of blood vessels
Types and causes - Contusion
Bruises causing swelling and bleeding = tissue damage
Types and causes - What happen during TBI? (2)
- Nerve fibers are severed
- Nerve fibers are stretched = inefficient and slowed functioning
Coup-Contrecoup - Coup
Brain injury at the point of impact
Coup-Contrecoup - Contrecoup
Brain injury oppose to the point of impact
Coup-Contrecoup - what is the primary impact ?
Coup
Coup-Contrecoup - what is the secondary impact ?
Contrecoup
Brain areas vs. functions - 6 areas
- Frontal lobe
- Motor cortex
- Sensory cortex
- Parietal lobe
- Occipital lobe
- Temporal lobe
Brain areas vs. functions - Frontal lobe
Filtring, problem solving, emotions, behaviour
Brain areas vs. functions - Motor cortex
Mvt
Brain areas vs. functions - Sensory cortex
Sensations
Brain areas vs. functions - Parietal lobe
Perception, spelling, making sense of the world
Brain areas vs. functions - Occipital lobe
Vision
Brain areas vs. functions - Temporal lobe
Memory, understanding, language
Hemineglect syndrome - symptoms
ignored people who approach from the left, leave food of the left side untouched, etc..
TBI - degree of severity (3)
- Confusion
- Coma
- Cerebral death
TBI - degree of severity - confusion
- decreased of thinking process
- Inattention or disorientation
- Speech is affected
TBI - degree of severity - coma
- Affect IQ
- Decreased metabolic activity of the brain
- Lead to amnesia
TBI - degree of severity - cerebral death
- Brain no longer able to regulate body function
TBI - symptoms (5)
- Medical
- Physical
- Senses
- Thoughts and communication
- Behavior and personality
TBI - symptoms - medical
Headaches, risk of seizures, fatigue
TBI - symptoms - physical
- Kcep can help
- balance issues, lack of coordination, muscle weakness/ paralysis
TBI - symptoms - senses
Over-sensitivity, vision problems
TBI - symptoms - thougths and communication
Affect organization of thoughts/ ability to find words and communicate clearly
TBI - symptoms - Behavior and personality
Irritability, mood swings, depression, anxiety
Difference between effects of TBI and Stroke on body functions
Brain damage after TBI is more widespread than stoke
Can you exercise after a TBI?
YES
Recovery of motor function graph (2)
- Recovery process more than 2 years
2. The longer the coma = greater the severity
Can the recovery process occur for more than 2 years post TBI?
YES
Is there a relation between length of coma and level of severity?
YES