Evoked Potentials in Acute Head Injured Patients with MRI-Detected Intracerebral Lesions

Soldner, F.; Hölper, B. M.; Choné, Laurence; Wallenfang, Thomas

doi:10.1007/s007010170017

Cited by 13 publications

(11 citation statements)

References 30 publications

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“…Cant and colleagues concluded that normal ABRs were therefore of little prognostic significance in this population. Shin et al (1989), Rappaport et al (1991a); Cusumano et al (1992), Guérit et al (1993), Keren et al (1994), Soldner et al (2001), Nölle et al (2004), andFischer et al (2008) did not find ABRs to provide useful prognostic information in assessments of patients with severe TBI. However, Ganes and Lundar (1988), Kane et al (1996), Liesiene et al (2008), andMunjal et al (2010) reported that ABR results did correlate with functional outcomes of TBI patients.…”

Section: Wavementioning

confidence: 94%

Electrophysiological assessments of cognition and sensory processing in TBI: Applications for diagnosis, prognosis and rehabilitation

Folmer

Billings

Diedesch-Rouse

et al. 2011

International Journal of Psychophysiology

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Section: Wavementioning

confidence: 94%

Electrophysiological assessments of cognition and sensory processing in TBI: Applications for diagnosis, prognosis and rehabilitation

Folmer

Billings

Diedesch-Rouse

et al. 2011

International Journal of Psychophysiology

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“…Before CT era, midbrain damage as a major DAI site, could be only and easily determined by autopsy, volumetric proton study5), and/or evoked potential study30). The prognosis of patient is dependent on the severity and site of head injury incurred.…”

Section: Discussionmentioning

confidence: 99%

The Prognostic Factors Related to Traumatic Brain Stem Injury

Kim

2012

J Korean Neurosurg Soc

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ObjectiveThis study was conducted to assess the clinical significance of traumatic brain stem injury (TBSI) reflected on Glasgow Coma Score (GCS) and Glasgow Outcome Score (GOS) by various clinical variables.MethodsA total of 136 TBSI patients were selected out of 2695 head-injured patients. All initial computerized tomography and/or magnetic resonance imaging studies were retrospectively analyzed according to demographic- and injury variables which result in GCS and GOS.ResultsIn univariate analysis, mode of injury showed a significant effect on combined injury (p<0.001), as were the cases with skull fracture on radiologic finding (p<0.000). The GCS showed a various correlation with radiologic finding (p<0.000), mode of injury (p<0.002), but less favorably with impact site (p<0.052), age (p<0.054) and skull fracture (p<0.057), in order of statistical significances. However, only GOS showed a definite correlation to radiologic finding (p<0.000). In multivariate analysis, the individual variables to enhance an unfavorable effect on GCS were radiologic finding [odds ratio (OR) 7.327, 95% confidence interval (CI)], mode of injury (OR; 4.499, 95% CI) and age (OR; 3.141, 95% CI). Those which influence an unfavorable effect on GOS were radiologic finding (OR; 25.420, 95% CI) and age (OR; 2.674, 95% CI).ConclusionIn evaluation of TBSI on outcome, the variables such as radiological finding, mode of injury, and age were revealed as three important ones to have an unfavorable effect on early stage outcome expressed as GCS. However, mode of injury was shown not to have an unfavorable effect on late stage outcome as GOS. Among all unfavorable variables, radiological finding was confirmed as the only powerful prognostic variable both on GCS and GOS.

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“…The BAEP is sensitive in detecting brain stem auditory pathway lesions, and has been used for more than two decades. Many scholars use it to assess brain function in acute critical illness, and it has been widely used to evaluate the degree and prognosis of TBI [30,31]. Greenberg first proposed the BAEP grading standard in 1977 [32].…”

Section: Brainstem Auditory Evoked Potentialmentioning

confidence: 99%

Effects of transcranial direct current stimulation on patients with disorders of consciousness after traumatic brain injury: study protocol for a randomized, double-blind controlled trial

Dong

Sun

et al. 2019

Trials

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Background Disorders of consciousness (DOC) after traumatic brain injury (TBI) raise the mortality of patients, restrict the rehabilitation of patients with TBI, and increase the physical and economic burden that TBI imposes on patients and their families. Thus, treatment to promote early awakening in DOC after TBI is of vital importance. Various treatments have been reported, but there is no advanced evidence base to support them. Transcranial direct current stimulation (tDCS) has shown great potential in promoting neuroelectrochemical effects. This protocol is for a double-blind, randomized, controlled, clinical trial aiming to research the effects and safety of conventional rehabilitation combined with tDCS therapy in patients with DOC after TBI. Methods/design Eighty patients with DOC after TBI will be randomized into one of two groups receiving conventional rehabilitation combined with sham tDCS or conventional rehabilitation combined with active tDCS. The intervention period in each of the two groups will last 4 weeks (20 min per day, 6 days per week). Primary outcomes (Glasgow Outcome Scale (GOS)) will be measured at baseline and the end of every week from the first to the fourth week. Secondary outcomes will be measured at baseline and the end of the fourth week. Adverse events and untoward effects will be measured during each treatment. Discussion Patients with central nervous system lesions have received tDCS as a painless, non-invasive, easily applied and effective therapy for several decades, and there has been some evidence in recent years showing partial improvement on the level of consciousness of partial patients with DOC. However, reports mainly focus on the patients in a minimally conscious state (MCS), and there is a lack of large-sample clinical trials. This protocol presents an objective design for a randomized controlled trial that aims to study the effectiveness of conventional rehabilitation combined with tDCS therapy for DOC after TBI, to evaluate its safety, and to explore effective and economical therapeutic methods. Trial registration Chinese Clinical Trial Registry, ChiCTR1800014808. Registered on 7 February 2018.

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Evoked Potentials in Acute Head Injured Patients with MRI-Detected Intracerebral Lesions

Cited by 13 publications

References 30 publications

Electrophysiological assessments of cognition and sensory processing in TBI: Applications for diagnosis, prognosis and rehabilitation

Electrophysiological assessments of cognition and sensory processing in TBI: Applications for diagnosis, prognosis and rehabilitation

The Prognostic Factors Related to Traumatic Brain Stem Injury

Effects of transcranial direct current stimulation on patients with disorders of consciousness after traumatic brain injury: study protocol for a randomized, double-blind controlled trial

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