Post Traumatic Brain Injury– Neuro Behavioral Sequelae: Severity Among Surgically Managed Patient

Dr.Sunilkumar B S; Dr. Raja K Kutty; Dr. Prasanth Asher; Dr. P.T. Baburaj; Dr. Anilkumar Peethambaran; Dr. Robert Mathew

Volume : VII, Issue : I, January - 2018

Post Traumatic Brain Injury– Neuro Behavioral Sequelae: Severity Among Surgically Managed Patient

Dr. Sunilkumar B S, Dr. Raja K Kutty, Dr. Prasanth Asher, Dr. P. T. Baburaj, Dr. Anilkumar Peethambaran, Dr. Robert Mathew

Abstract :

Background

Traumatic Brain Injury is an ever–enduring health hazard growing worldwide. Road traffic accidents are among the forefront to the cause of this problem. With this study, we aim to investigate the difference in the severity of neurobehavioral sequalae among survivors of TBI managed either surgically or conservatively.

Materials & methods

The patients were selected from Head Injury out–patient clinic of a tertiary care hospital between September 2002 to August 2013. There were 125 patients grouped into two depending upon the management. They were examined between six weeks to one–year post trauma using the tool Revised Neurobehavioral rating scale developed by Levin et.al. The data was entered in excel and analysed using standard statistical software. Statistical comparisons were made across five Domains of the NRS–R using the Mann Whitney U test.

Result

There were 65 patients in group 2 (conservative) and 60 patients in Group 2 (surgery). Each group were comparable with regard to age and severity of injury (mild, moderate and severe). I^stDomain of the NRS–R representing Executive cognition did not show any significant difference in severity between two groups. There were significant differences across all other domains including positive symptoms, negative symptoms, mood/affect and oral/motor between two groups. Emotional aspect of decision making motivation and impulsivity and mood were affected more significantly in surgically managed patients

Conclusion

Cognitive executive function is not significantly different in both groups while Behavioral executive functions are significantly severely affected in surgically managed patients.