Indian Journal of Neurotrauma 2008; 05(02): 59-62
DOI: 10.1016/S0973-0508(08)80001-9
Review Article
Thieme Medical and Scientific Publishers Private Ltd.

Minor head injury

Ashok Kumar Mahapatra
,
Deepak Agrawal
*   All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029
,
Raj Kumar
› Author Affiliations

Subject Editor:
Further Information

Publication History

Publication Date:
05 April 2017 (online)

Abstract

In India about one million people sustain head injury every year. Minor head injury constitutes about 80 – 90% cases of total head injury patients. About 50% minor head injury cases have associated organic brain dysfunctions. Studies like SPECT, VEP, BAER, TCD and P300 recordings have demonstrated hypoperfusion and dysfunctional abnormalities of brain parenchyma in most of the cases having post-concussion syndrome and persistent post-concussion syndrome. Significant blood flow abnormalities are found in medial temporal lobe, hippocampus and frontal lobe etc, which are responsible for various functional problems.

 
  • References

  • 1 Agrawal D, Mahapatra AK. Minor head injury in text book of written by Prof. A. K Mahapatra & Raj Kamal. 3rd . edition 2005. Modern publishers; New Delhi, India: 123-128
  • 2 Mild head injury interdisciplinary special interest group of the American Congress of Rehabilitation Medicine. Definition of mild traumatic brain injury. J Head Trauma Rehabil 08 1993; 86-88
  • 3 World Health organization. International statistical classification of disease and related health problems. 10th . ed. 1992. World Health Organization; Geneva, Switzerland:
  • 4 Hugenholtz H, Stuss DT, Stethem BA, Richard MT. How long does it take to recover from a mild concussion?. Neurosurgery 22 1998; 853-858
  • 5 Agrawal D, Dowda NK, Bal CS, Pant M, Mahapatra AK. Is medical temporal injury responsible for pediatric post concussion syndrome. A prospective controlled study with Single – photon emission computerized tomography. J Neurosurg (Pediatric) 102 2005; 167-171
  • 6 Jain KC, Mahapatra AK, Walia BS. Objective assessment of post – minor head injury syndrome. A P-300 and blood flow velocity study. Clin Neurol Neurosurg 99 Suppl 1997; S74 (Abstract)
  • 7 Smith DH, Lowenstein DH, Gennarelli DI, McIntosh TK. Persistent memory dysfunction is associated with bilateral hippocampal damage following experimental brain injury. Neurosci Lett 168 1994; 151-154
  • 8 Hofman PAM, Stapert SZ, van Kroonenburgh MJPG, Lolles J, Kelle De Kruik, Welmink JT. MR imaging, Single-photon emission CT and neurocongitive performance after mild traumatic brain injury. AJNR 22 2001; 441-449
  • 9 Jenkins LW, Lu Y, Johnston WE, Lyeth BG, Prough DS. Combined therapy affects outcomes differently after mild traumatic brain injury and secondary forebrain ischemia in rats. Brain Res 817 1999; 132-144
  • 10 Kant R, Smith- Seemiller L, Isaac G, Duffy J. Tc-HMPAO SPECT in persistent postconcussion syndrome after mild head injury: Comparison with MRI/CT. Brain Inj 11 1997; 115
  • 11 Jain KC, Mahapatra AK, Walia BS. Objective assessment of post minor head injury syndrome. A P300 and blood flow velocity study. Clin Neurol Neurosurg 99 1997; 574 (Abstract)
  • 12 Umile EM, Sandel E, Alavi A, Terry CM, Plotkin RC. Dynamic imaging in mild traumatic brain injury: support for the theory of medial temporal vulnerability. Arch Phys Med Rehabil 83 2002; 1506-1513
  • 13 Nedd K, Sfakainakis G, Ganzw Urichhio B, Vernberg D, Villaneva P. 99Mtc – HMPAO SPECT of the brain in mild to moderate traumatic brain patients compared with CT – A prospective study. Brain Inj 07 1993; 469-479
  • 14 Jain KC, Mahapatra Ak. Cerebral clood flow velocity P300 studies in patients with minor head injury: A preliminary study. In: Khosla VK, Kak VK, Sharma BS. (eds), Brain protection and neural trauma. 2000. Narosa Publishers; New Delhi: 298-305
  • 15 Jindal A, Mahapatra AK. Transcranial Doppler in neurosurgery. Neurol India 04 1999; 57-58
  • 16 Wrightson P, McGinn V, Gronwall D. Mild head injury in preschool children: evidence that it can be associated with persisting cognitive defect. J Neurol Neurosurg Psychiatry 59 1995; 375-380
  • 17 Peuvot J, Schanck A, Deleers M. et al Piracetam-induced changes to membrane physical properties: a combined approach by 31P nuclear magnetic resonance and conformational analysis. Biochem Pharmacol 50 1995; 1129-1134
  • 18 Vernon E. Piracetam a nootropil analogue. In: Gouliaev AH, Seening A. (eds): Piracetam and other structurally related neurotropics. Brain Res Rev. 19 1991: 180
  • 19 Agrawal D, Naveen K, Bal CS, Mahapatra AK. Post-concussion vertigo. Is the cause central? Correlation with SPECT and CT. Neurosciences Today 07 2003; 33-36