Urazy głowy – najnowsze informacje

Head trauma – an update

Traumatic Brain Injury (TBI) occurs in up to 25% of dogs following severe blunt head trauma. Following TBI, clinical assessment for other systemic injuries and neurologic eva­luation is critical and requires frequent re-assessment. The Modified Glasgow Coma Score (MGCS) is used to evaluate motor activity, brainstem reflexes and level of consciousness and has been previously shown to be an important predictor in outcome. Recently, MRI characteristics of TBI such as volume of parenchymal damage and mid-line shift of the cerebral hemispheres have also shown to have a significant correlation with outcome.

However, advanced imaging is still largely reserved for patients that fail to respond to therapy or deteriorate during treatment. Treatment decisions should be based on the severity of injury and response to therapy using a tiered approach with frequent reassessment. It has been recently recognized that 10% of dogs with TBI will go on to develop post-traumatic epilepsy, which may also affect treatment decisions. Surgical intervention may be required in some patients especially if they deteriorate despite aggressive medical therapy or if wounds require decontamination.

Head trauma can result in traumatic brain injury (TBI) with a recent single-center retrospective study reporting that up to 25% of dogs with severe blunt trauma suffer from TBI (Hall and others, 2014). Traumatic Brain Injury is defined as structural injury or physiological [...]

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