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TRAUMATIC BRAIN INJURY 1998
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Diagnosis of Mild TBI | Prognosis for Coma | Rehabilitation

PRACTICE POINTS

Pitfalls in the Diagnosis of Mild TBI

1. Objective clinical findings sparse
2. Symptoms
... a. nonspecific
... b. common in the non head-injured
3. Neuropsychological abnormalities
... a. rarely diagnostic
... b. common in normals

Prognosis for Coma | Diagnosis of Mild TBI | Rehabilitation

PRACTICE POINTS

Prognostic Tests for TBI Coma:

1. First week Evoked Potentials
.... a. Brainstem
.... b. SomatoSensory
2. ElectroEncephaloGraphy (EEG)?
3. NOT neurological assessment

Rehabilitation | Prognosis for Coma | Diagnosis of Mild TBI

PRACTICE POINTS

Benefit from Rehabilitation Programmes:

1. Early multidisciplinary - no proof
2. Intensity, specific types - no proof
3. Cognitive - modest benefit
4. Supported employment - perhaps
5. Care-coordination - conflicting evidence

Related Articles (Member Subscription required) :
Traumatic Brain Injury (TBI): 1993-4, Volume 1, Issue 3
Traumatic Brain Injury 1995 , Volume 2, Issue 8
Traumatic Brain Injury 1996, Volume 2, Issue 9
Traumatic Brain Injury 1997, Volume 3, Issue 9
Traumatic Brain Injury 1998, Volume 6, Issue 3

Referenced Articles (Member Subscription required):
Evidence Based Medicine, MLN V2I1 supplement

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