Sports Approach to Head Injury Patients Quiz

What is the Glasgow Coma Scale score indicative of severe trauma and a poor clinical state?

8 or less

Which patient with head injury would typically remain comatose from time of injury?

A patient who remains comatose from the time of injury

In the context of head trauma, what does a Glasgow Coma Scale score between 9 to 12 indicate?

Moderate injury

When should a Head CT scan be obtained according to the text?

Loss of consciousness for > 1 minute Signup and view all the answers

What are the indications for obtaining a Head CT scan in the context of head trauma?

Severe and persisting headache, nausea and vomiting Signup and view all the answers

In the given clinical case, what does a GCS score of E3V3M5 represent?

GCS score of 11 indicating moderate trauma Signup and view all the answers

What abnormality would be found on the CT scan in the provided clinical case?

Brain hemorrhage Signup and view all the answers

Which type of hematomas is characterized by tearing of bridging pial veins and arteries from minor head trauma or acceleration injury?

Acute subdural hematoma Signup and view all the answers

In which type of subdural hematoma is urgent evacuation recommended if large enough to cause symptoms?

Acute subdural hematoma Signup and view all the answers

Which age group is at risk for developing chronic subdural hematomas?

Elderly Signup and view all the answers

What is the typical location of a subdural hygroma?

Lateral cerebral convexities Signup and view all the answers

In which age group is a subdural hygroma most commonly seen?

Infants, children, adults Signup and view all the answers

What is a common risk factor for chronic subdural hematomas?

Coagulopathy Signup and view all the answers

Which type of hematoma may be hyper- or isodense on radiologic imaging?

Chronic subdural hematoma Signup and view all the answers

What is the causative factor for a cerebral contusion?

Shearing of parenchymal vessels Signup and view all the answers

Which radiologic factor is indicative of a cerebral contusion?

Multiple, confluent regions of edema intermixed with focal, acute blood Signup and view all the answers

What is the typical clinical presentation of acute subdural hematomas?

Drowsiness, coma; pupillary dilatation with contralateral then bilateral limb weakness; progressive stupor then coma Signup and view all the answers

What clinical profile is associated with a subdural hygroma?

Mimics chronic subdural hematoma Signup and view all the answers

In which age group is a cerebral contusion most likely to occur?

Infants, children, adults Signup and view all the answers

What would be the evolution time frame for a subdural hygroma?

Days to weeks Signup and view all the answers

What is the typical location for an acute epidural hematoma?

Lateral cerebral convexities Signup and view all the answers

In acute epidural hematoma, which vessel is commonly lacerated?

Middle meningeal artery Signup and view all the answers

What is a common radiologic factor associated with acute epidural hematomas?

Acute bulging epidural clot bounded by cranial sutures Signup and view all the answers

What is the typical age group at risk for acute epidural hematomas?

Children, young adults Signup and view all the answers

What is the usual clinical profile seen in acute epidural hematoma cases?

Lucid interval then coma, pupillary dilatation, limb weakness, stupor then coma Signup and view all the answers

What is the common surgical intervention for acute epidural hematomas?

Urgent evacuation Signup and view all the answers

Which type of injury is characterized by deceleration or rotational forces?

Diffuse axonal injury Signup and view all the answers

What is the typical age group at risk for diffuse axonal injury?

Any age group Signup and view all the answers

Which type of traumatic brain injury is largely reversible and may present with normal CT imaging?

Concussion Signup and view all the answers

In concussion, what distinguishes the full form from the mild form?

Loss of consciousness or confusion after trauma Signup and view all the answers

Which brain region is commonly affected in diffuse axonal injury?

Corpus callosum Signup and view all the answers

What are the core features of a concussion?

Immediate loss of consciousness or confusion after trauma Signup and view all the answers

Why might a CT scan be normal in a patient with concussion?

Because concussions do not cause structural brain damage visible on CT scans Signup and view all the answers