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Dysautonomia after traumatic brain injury: a forgotten syndrome?
Citation
Baguley, IJ and Nicholls, JL and Felmingham, KL and Crooks, J and Gurka, JA and Wade, LD, Dysautonomia after traumatic brain injury: a forgotten syndrome?, Journal of Neurology, Neurosurgy and Psychiatry, 67, (1999) pp. 39-43. ISSN 0022-3050 (1999) [Refereed Article]
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Copyright Statement
Copyright © Felmingham, KL 1999. Produced by BMJ Publishing Group Ltd under licence
Abstract
Abstract
Objectives—To better establish the clinical
features, natural history, clinical management,
and rehabilitation implications
of dysautonomia after traumatic brain
injury, and to highlight difficulties with
previous nomenclature.
Methods—Retrospective file review on 35
patients with dysautonomia and 35 sex
and Glasgow coma scale score matched
controls. Groups were compared on injury
details, CT findings, physiological indices,
and evidence of infections over the first 28
days after injury, clinical progress, and
rehabilitation outcome.
Results—the dysautonomia group were
significantly worse than the control group
on all variables studied except duration of
stay in intensive care, the rate of clinically
significant infections found, and changes
in functional independence measure
(FIM) scores.
Conclusions—Dysautonomia is a distinct
clinical syndrome, associated with severe
diffuse axonal injury and preadmission
hypoxia. It is associated with a poorer
functional outcome; however, both the
controls and patients with dysautonomia
show a similar magnitude of improvement
as measured by changes in FIM scores. It
is argued that delayed recognition and
treatment of dysautonomia results in a
preventable increase in morbidity.
Item Details
Item Type: | Refereed Article |
---|---|
Keywords: | traumatic brain injury; dysautonomia; autonomic |
Research Division: | Psychology |
Research Group: | Biological psychology |
Research Field: | Behavioural neuroscience |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Clinical health not elsewhere classified |
UTAS Author: | Felmingham, KL (Professor Kim Felmingham) |
ID Code: | 72170 |
Year Published: | 1999 |
Web of Science® Times Cited: | 145 |
Deposited By: | Psychology |
Deposited On: | 2011-08-23 |
Last Modified: | 2011-08-25 |
Downloads: | 0 |
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