
Traumatic Brain Injury (TBI)
Known Symptoms
- Etiology: Falls, motor vehicle accidents, sports injuries, assaults, blast injuries (military).
- Pathophysiology: Primary injury: Immediate damage from impact (e.g., contusions, hematomas, axonal shearing).
- Secondary injury: Delayed damage from cascading processes (e.g., inflammation, excitotoxicity, oxidative stress, ischemia, elevated intracranial pressure).
Known Causes
- Mild TBI (concussion): Headache, dizziness, confusion, nausea, sensitivity to light/noise, transient loss of consciousness.
- Moderate to severe TBI:
Prolonged loss of consciousness, persistent headache, seizures, focal neurological deficits (e.g., weakness, aphasia), agitation. - Red flags: Worsening headache, repeated vomiting, unequal pupils, lethargy, seizures, focal weakness (indicating expanding hematoma or herniation).
Care
- Prevention:
- Use of helmets, seatbelts, fall prevention in the elderly, safe sports practices.
- Public awareness campaigns.
- Follow-up:
- Regular neurological and cognitive assessments. Long-term rehabilitation for functional recovery.
- Screening for psychiatric comorbidities.
- Education for patients and caregivers on symptom management.
- Etiology: Falls, motor vehicle accidents, sports injuries, assaults, blast injuries (military).
- Pathophysiology: Primary injury: Immediate damage from impact (e.g., contusions, hematomas, axonal shearing).
- Secondary injury: Delayed damage from cascading processes (e.g., inflammation, excitotoxicity, oxidative stress, ischemia, elevated intracranial pressure).
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Royal Bahrain Hospital, Salmaniya

Royal Bahrain Hospital, Salmaniya
Orthopedics, Obstetrics and Gynecology, Urology, General Surgery, Cardiology and Plastic Surgery
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