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Exam 2
TBI
22
Communication
Undergraduate 3
04/22/2013

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Cards

Term
TBI definition
Definition
non degenerative, non congenital insult to the cranium and intracranial contents from an external mechanical force, possibly leading to permanent or temporary impairments of cognitive, physical, and psychosocial function with an associated diminished or altered state of consciousness.
Term
Physical Symptoms of TBI
Definition
dizziness, headaches, nausea, vomiting, blurred vision, sleep disturbance, lethargy, sensory deficit
Term
Cognitive Problems with TBI
Definition
poor attention, memory deficits, speech/language problems, problems with executive functions (goal setting, sequence motor behaviors, self monitoring, inhibition)
Term
Socio-behavioral Difficulties with TBI
Definition
Emotional Lability (free, uncontrolled often exaggerated expression of emotions), disinhibition, irritability, combativeness, quickness to anger
Term
Categories of TBI
Definition
open/penetrating, closed/non penetrating.
Term
Open/Penetrating TBI
Definition
Skull is fracture or perforated, meninges torn or lacerated.
-Skull less able to protect brain
-leaves individual prone to further injury or infection
Term
Closed/non penetrating TBI
Definition
Skull may or may not be fractured, meninges intact.
-2 primary mechanisms/classifications (acceleration/deceleration and non acceleration/deceleration)
Term
Accelation/deceleration
Definition
Brain moving within skull.
-ex: car accident, whiplash
Term
non acceleration/deceleration
Definition
head and brain remain stationary
-ex: Something hits head
Term
Types of Head Injuries
Definition
Primary and Secondary
Term
Primary Head Injury
Definition
Complete at time of impact or moment of trauma.
-skull fracture, contusion, hematoma, lacerations
Term
Skull Fracture
Definition
Breaking of bony skull.
-depressed = broken piece of skull moves in toward brain
-compound = skin/scalp is lacerated, skull is fractured
-basemer = at base of skull, may include opening at skull base *severe
Term
Contusion
Definition
Bruising of brain. Swelling, bleeding, and destruction of neural tissue as a result of vascular and tissue damage. *may leave a scar
-coup and contrecoup injuries are contusions
Term
Coup VS Contrecoup
Definition
Coup = Blow to head results in brain moving and slamming into point of impact.
-Small, hard objects or slower moving objects.
Contrecoup = injury occurs opposite the site of impact, brain bounces
-larger objects
*often occur together
Term
Hematoma
Definition
Blood clots, localized mass of exuded blood that is relatively or completely confined within an organ space or potential space.
-may develop slowly or rapidly, depending on place
-hits and compresses tissue
Term
Subdural Hematoma
Definition
Slower bleeding outside the brain between potential space of dura mater and arytenoid mater caused by damage to a vein.
Term
Epidural Hematoma
Definition
Faster bleeding outside brain into potential space between pia mater and skull caused by damage to an artery.
-blood under pressure, see symptoms quickly
Term
coma
Definition
state of unconsciousness from which the individual can not be awakened, during which they have no voluntary activity, respond minimally if at all to stimuli.
Term
Lacerations
Definition
tearing of cerebral lobe or blood vessel as a result of a blow causing the brain to rotate within the skull.
-Results in intracranial hematoma, blood from damaged vessel leaks into brain.
*diffuse axonal injury
Term
Diffuse Axonal Injury
Definition
Extensive cutting and shearing of large connecting nerve fibers and the stretching of blood vessels caused by a shaking or strong rotation of the head.
-axons tear, break down.
Term
Secondary Injury
Definition
Occurs immediately after trauma, then evolves and continues over a period of time following the injury.
-*hydrocephalus, *subdural hematonma, epilepsy, intracranial infection, fever, blood pressure change, low sodium, anemia, cardiac changes, lung changes
Term
Hydrocephalus
Definition
Condition marked by excessive cerebrospinal fluid resulting in dilation of ventricles and raised intracranial pressure. Pinches blood vessels, tissue dies.
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