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At least 253 records · Page 14Linked to original sources
PubMed1996

Postconcussional disorder and loss of consciousness.

Postconcussional disorder (PCD) has been described in the psychiatric, neurological, neuropsychological, and rehabilitation medicine literature for many years. PCD has recently been introduced into DSM-IV, appearing in an appendix that contains a number of proposals for new categories and axes that were suggested for possible inclusion in DSM-IV. There are some major difficulties with the proposed criteria for PCD. This article explores some of these difficulties, particularly focusing on the criteria of loss of consciousness (LOC). A review of the literature demonstrates that LOC is not necessary for PCD to occur. The major difficulty with the DSM-IV criteria is the definition of concussion. The article suggests that, instead, the criteria for mild traumatic brain injury, as defined by the American Congress of Rehabilitation Medicine, may be more appropriate.

Brain Concussion↗
PubMedDate not supplied

[Respiratory aid to patients with severe forms of suppurative meningitis].

The severity of acute respiratory failure (ARF) in patients with purulent meningitis (PM) depends on the severity of consciousness disorders. ARF is most expressed in comatose patients, whereas in PM involving no consciousness disorders there were no changes of the gaseous composition of the blood or acid-base status. After forced ventilation of the lungs is started, gaseous composition of the blood normalizes. Timely active respiratory care decreased by half the mortality in this patient population, this indicating that such patients are to be treated in intensive care wards for timely correction of disordered vital functions.

Acute Disease↗
PubMedDate not supplied

[Therapeutic value of antioxidants and calcium channel blockers in patients in the acute phase of closed head injuries].

Knowing that uncontrolled calcium signalization with excessive production of reactive oxidative matters is present in case of neurotrauma, aim of the investigation was to establish therapeutic value of combined administration of antioxidants (AO) and calcium channel blockers (CCB) in patients with closed head injury (CHI). Investigation comprised 120 patients with CHI who received AO (vitamins C and E) parenterally during 10 days and CCB (nimodipine), and control group was comprised of 60 patients with CHI who did not receive these medicinals in therapeutic program. We have established the influence of the therapy on neurologic and functional deficiency and consciousness disorder, respectively. Results of the investigation confirmed better recovery of all three observed parameters (degree of neurologic deficiency, degree of functional deficiency and consciousness disorder) in a group of patients receiving AO and CCB, which was statistically significant. It can be concluded that the administration of AO and CCB in patients with CHI in the acute phase should be included into therapeutic program of this significant clinical syndrome.

Adult↗