Challenges of diffuse axonal injury diagnosis. Thomas, M. & Dufour, L. Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurses, 34(5):179–180, October, 2009. Number: 5doi abstract bibtex "This can't be right. Jay is in a vegetative state following a severe traumatic brain injury (TBI), but his computed tomography scan is essentially normal. How am I going to explain this to his mom?" This is a conversation I overhear among my rehabilitation nurse colleagues from time to time. Jay has a type of brain trauma called diffuse axonal injury (DAI). Recent statistics from the National Centers for Injury Prevention and Control (NCIPC, 2006) indicate 1.4 million people sustain a TBI each year in the United States. The leading causes of TBI are falls (28%), motor vehicle accidents (20%), being struck by or against an object (19%), and assaults (11%; NCIPC). DAI, one of the most important causes of cognitive dysfunction after TBI (Sugiyama et al., 2007), occurs in a more widespread pattern in certain regions of the brain than the localized zone of focal injuries. It is one of the most devastating forms of TBI and a common cause of vegetative state and severe disability. DAI occurs in 40%-50% of all patients who are hospitalized from TBI (Meythaler, Peduzzi, Eleftheriou, & Novack, 2001).
@article{thomas_challenges_2009,
title = {Challenges of diffuse axonal injury diagnosis},
volume = {34},
issn = {0278-4807},
doi = {10.1002/j.2048-7940.2009.tb00276.x},
abstract = {"This can't be right. Jay is in a vegetative state following a severe traumatic brain injury (TBI), but his computed tomography scan is essentially normal. How am I going to explain this to his mom?" This is a conversation I overhear among my rehabilitation nurse colleagues from time to time. Jay has a type of brain trauma called diffuse axonal injury (DAI). Recent statistics from the National Centers for Injury Prevention and Control (NCIPC, 2006) indicate 1.4 million people sustain a TBI each year in the United States. The leading causes of TBI are falls (28\%), motor vehicle accidents (20\%), being struck by or against an object (19\%), and assaults (11\%; NCIPC). DAI, one of the most important causes of cognitive dysfunction after TBI (Sugiyama et al., 2007), occurs in a more widespread pattern in certain regions of the brain than the localized zone of focal injuries. It is one of the most devastating forms of TBI and a common cause of vegetative state and severe disability. DAI occurs in 40\%-50\% of all patients who are hospitalized from TBI (Meythaler, Peduzzi, Eleftheriou, \& Novack, 2001).},
language = {eng},
number = {5},
journal = {Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurses},
author = {Thomas, Margaret and Dufour, Linda},
month = oct,
year = {2009},
pmid = {19772114},
note = {Number: 5},
keywords = {Brain Injuries, Diffuse Axonal Injury, Humans, Rehabilitation Nursing},
pages = {179--180},
}
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