For most patients and families, the clinical status of patients with diffuse axonal injury will continue to persist for a minimum of two years. Then, most patients and families will achieve and accept a new baseline.
Recent epidemiological studies indicate that the outcomes of patients with diffuse axonal injury are associated with the of lesions identified through imaging. There are emerging studies suggesting that during the acute phase of diffuse axonal injury, hypoxia, and hypotension are associated with increased mortality. Therefore, it is important to continue investigating the clinical, pathophysiological, and radiographic studies to advance the management of patients with diffuse axonal injury.
Patients with DAI often have a severe brain injury and are best managed by an interprofessional team that includes a neurologist, neurosurgeon, physical and occupational therapist, speech therapist, intensivist, tatiana escort, ICU nurses, neuroscience nurses, and galena il adult personals nurses.
Nurses monitor patients and inform the team about changes in status.
The outcome for patients with DAI is generally poor. The recovery is long, and complete recovery is usually not possible in cases of severe injury. For many, there is life long disability serikus a poor quality of life.
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StatPearls [Internet]. Search term. Diffuse Axonal Injury Fassil B. Author Information Authors Fassil B. Affiliations 1 MU School of Medicine. Epidemiology The true incidence of DAI is unknown. Histopathology Axonal portions of neurons have a mechanical disruption of cytoskeletons resulting in proteolysis, swelling, and other microscopic and molecular changes to the neuronal structure.
History and Physical DAI is a clinical diagnosis. Differential Diagnosis Subdural hematoma. Prognosis Prognosis is considered to be poor in patients with severe DAI. Complications Dysautonomia is frequently encountered. Postoperative and Rehabilitation Care Postoperative care, if operative intervention is pursued, typically is aimed at reducing ICP and improving cerebral blood flow.
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Consultations Typically neurosurgery, neurology, trauma surgery, and intensive care can help guide therapies. Enhancing Healthcare Team Outcomes Patients with DAI often have a severe brain injury and are best managed by an interprofessional team that includes a neurologist, neurosurgeon, physical and occupational therapist, speech therapist, intensivist, internist, ICU nurses, neuroscience nurses, and rehabilitation nurses. Comment on this article.
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Head injury - first aid
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Traumatic axonal injury, a clinical-pathological correlation. J Forensic Leg Med. Post-acute brain injury urinary ature: a new resource for molecular diagnostics. J Neurotrauma. Biomed Res Int. Mov Disord Clin Pract. Lookinf after severe traumatic brain injury.
Neurologist: How to know when dizziness is serious
Eur J Neurol. Diffuse axonal injury after traumatic fkr injury is a prognostic factor for functional outcome: a systematic review and meta-analysis. Brain Inj. CLARITY reveals a more protracted temporal course of axon swelling and disconnection than ly described following traumatic brain injury. Brain Pathol. Prognosis of diffuse axonal injury with traumatic brain injury.
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