TBI

Question 1

Traumatic Brain Injury

Answer 1

Mainly in young men. Not all the same, difference is open and closed skull injury

Question 2

Open skull fracture

Answer 2

Primary damage: Bones are cracked like gunshot

Question 3

Closed skull fracture

Answer 3

Secondary damage: 
Focal atrophy (coup a contrecoup). Brain moves forwards and gets damaged on impact on front as well as back (backfire)

Question 4

Subdural hemorrhage

Answer 4

Where bleeding is between arachnoid mater and dura mater

Question 5

Epidural hemorrhage

Answer 5

Bleeding between dura mater and skull

Question 6

Subarachnoid hemorrhage

Answer 6

Bleeding is intracerebral. In white/grey matter (delayed effects)

Question 7

Secondary damage

Answer 7

Oedeem: Zwelling door beschadiging bleodvaten
Hypoxie: too little oxygen

Question 8

EVM schale

Answer 8

Schaal met 3 onderdelen voor testen schade:
- E score, opening of eyes (4)
- M score, motor reaction (6)
- V score, verbal response (5)
8 or lower is severe. (till 12 intermediate)

Question 9

Commoto and contusio cerebri

Answer 9

Onderscheid tussen lichte en zware hersenletsels. Grens is 15 min buiten bewustzijn en/of 60 min PTA van overgang licht naar middel. 1-7 dagen PTA is zwaar