**Closer look at Intracerebral hematoma: Bleeding inside
cerebral tissue
true
FULL DEFINITION
Hematoma is in cerebral tissue
-bleeding inside cerebrum tissue, MVA again, also with falls,
may have contusions w/ brain, a lot of shearing forces on brain
on axons and vessels can lead to bleeding and intracerebral
hematoma, all of these have increased ICP risk but this one is
higher, may have coma if so, can occur 3-10 days after injury
TERM
Coup/contrecoup injury: The brain is not fixed in the skull
and can move around within the cerebrospinal fluid;
impact on one side of the skull can cause a secondary
impact on the opposing side
true
, FULL DEFINITION
coup/contrecoup-brain not fixed in skull-exists in CSF and can
move around, if hit brain on one side impacts that side of skull
but will move on other side and hit again, first injury-coup,
opposing side of skull-contrecoup, on steering wheel coup
then back contrecoup additional injury
TERM
Spinal cord injury: Hypoxia, acidosis, decreased arousal,
respiratory changes, sluggish and dilated pupils,
bradycardia, and herniation
false
FULL DEFINITION
Traumatic injury of vertebral and neural tissues due to
compressing, pulling, or shearing forces
TERM
First two types of diffuse axonal injury: A neurological
scale that aims to give a reliable, objective way of
,recording the conscious state of a person for initial as
well as subsequent assessment. -lowest score-3;
highest-15 -3 categories: eye opening, motor response,
verbal response
false
FULL DEFINITION
Mild:
-6-24 hours of coma
-decebrate or decorticate posturing
Moderate:
24 hours of coma
-actual tearing of some axons
-GCS: 4-8 progressing 6-8 by 24 hours
-decebrate or decorticate posturing
-confusion with waking
-retrograde and anterograde amnesia
-permanent neuro changes
TERM
*******What is autonomic dysreflexia: Temporary axonal
disturbances causing varying degrees of attention
, deficits, memory deficits, and loss of consciousness,
graded from I to IV.
false
FULL DEFINITION
autonomic hyperreflexia/dysreflexia:
-massive, uncompensated cardiovascular response to
stimulation of the sympathetic nervous system
TERM
What else does awareness entail?
1) superior colliculi
2) pulvinar of thalamus
3) right parietal lobe
TERM
Type of spinal cord injuries: Most commonly occurs
during or b/c of vertebral injuries: hyperflexion,