[Confrontation naming ability in patients with traumatic brain injury referred to shahid kamyab hospital of Mashhad]

The prefrontal cortex is highly vulnerable to Traumatic Brain Injury [TBI] resulting in the dysfunction of many high-level cognitive and executive functions such as language and word finding. The present study investigates the confronting naming ability in patients with TBI. Present research was a prescriptive-analytic cross-sectional study examined 20 TBI patients [10 male and 10 female], with the age ranged between 18 to 45 years. Participants, with a score above of 20 in Mini-Mental State Examination [MMSE], were assessed with Persian naming test. Our findings demonstrated that the mean of correct answers without cue was 87.9, and the mean of correct answers with semantic and phonological cues were 3.3 and 1.2, respectively. However, the mean of false answers was 4.8, and the mean of no answered questions was 2.8. Furthermore, the mean of semantic and phonological pseudo-words were 4.5 and 0.4, respectively, while the sum of correct answers was noted as 92.4. This research differs from other researches in severity of the disorders in population and definition of the naming process. Naming disorder in TBI patients with mild to moderate damage was mild, and semantic pseudo-words were less correct than other words. Therefore, semantic cue could be helpful for word retrieval in TBI patients. Therefore, in these patients to retrieve words, semantic priming may be effective and recommended as a treatment strategy

Delayed intracranial hematoma after head injury

Introduction: Delayed intracranial hematoma after head trauma is an important complication that must be considered much more in our neurosiirgical departments. These hematomas may be intra. or extraaxial. The purpose of this study is to determine the incidence, Complications and mortality rates of delayed intracranial hemorrhages and describe there, pathophysiology, clinical and radiological presentations

Material and Methods: Prospectively from March 2000 to February 2002, 1806 patients with posttraumatic intracranial hemorrhages were admitted at neurosurgical department of Shahid Kamyab Hospital . Many of them underwent operation

Results:1308 cases of the 1806 patients underwent craniotomy and hematoma removal. Among these cases 247 patients [about 13.6% of cases] had delayed intracranial hematoma [EDH, SDK orlCH]. Delayed intracranial hematoma after head injury is a frequent and potentially devastating problem

Conclusion: Few clinical studies showed the effects of vascular disorders and blood dyscrasias in higher incidence of delayed intracranial hematomas. Identification of patients at aricular risk for delayed intracranial hematoma, use of ICP monitoring in selected patients and prompt application of CTScan all can improve the early recognition of this complication of head injury. Early recognition and prompt treatment are both essential for optimal Management

Rehabilitation of severe traumatic head injured patients [deep coma] by tactile, thermal, visual and auditory stimulation

Introduction: The following research intends to determine the effects of a sensory stimulation program and the level of consciousness in patients with sever head injuries. The main hypothesis is these sensory stimulation programs will reduce the level of consciousness and duration of hospitalization in comparison with those without

Material and methods: this study was conducted in two patient groups [each group consisted of 22 patients] during a 6 month period in the ICU ward of Kamiab Hospital, Mashhad, Iran

Results: there was no statistically significant difference between levels of consciousness in the two groups; however there was a significant difference in the average duration of hospitalization