Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans (2019) / Chapter Skim
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Appendix B: Definitions of Traumatic Brain Injury
Appendix B: Definitions of Traumatic Brain Injury
Pages 107-114
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From page 107... ...
A person with a moderate or severe TBI may show these same symptoms, but may also have a headache that gets worse or does not go away, repeated vomiting or nausea, convulsions or seizures, an inability to awaken from sleep, dilation of one or both pupils of the eyes, slurred speech, weakness or numbness in the extremities, loss of coordination, and increased confusion, restlessness, or agitation. Centers for CDC defines a traumatic brain injury as a disruption in the normal function of the brain that can CDC, 2017 Disease Control be caused by a bump, blow, or jolt to the head, or penetrating head injury.
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From page 108... ...
• SRC may result in neuropathological changes, but the acute clinical signs and symptoms largely reflect a functional disturbance rather than a structural injury and, as such, no abnormality is seen on standard structural neuroimaging studies. • SRC results in a range of clinical signs and symptoms that may or may not involve loss of consciousness.
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From page 109... ...
In more severe TBI in which there is brain contusion, intracranial hemorrhage, or penetrating injury, there may be additional neurocognitive deficits, such as aphasia, neglect, and constructional dyspraxia. Severity rating criteria include loss of consciousness, posttraumatic amnesia, and disorientation and confusion at initial assessment (Glasgow Coma Scale Score)
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From page 110... ...
MACE results are reported using the score from the cognitive exam, the color from the neurological exam, and the letter from the symptom screening. For example, a result of 24/Red/B would mean a cognitive score of 24 out of 30, an abnormal neurological response, and the presence of one or more symptoms.
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From page 111... ...
Operational criteria for clinical identification include (i) Collaborating one or more of the following: confusion or disorientation, loss of consciousness for 30 minutes or Center Task Force less, posttraumatic amnesia for less than 24 hours, and/or other transient neurological on Mild Traumatic abnormalities such as focal signs, seizure, and intracranial lesion not requiring surgery; (ii)
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From page 112... ...
psychological trauma, language barrier, or coexisting 112 medical conditions) ; or caused by penetrating cranio-cerebral injury American A patient with mild traumatic brain injury is a person who has had a traumatically induced Kay et al., 1993 Congress of physiological disruption of brain function, as manifested by at least one of the following: Rehabilitation 1.
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From page 113... ...
2005. Summary of the WHO collaborating centre for neurotrauma task force on mild traumatic brain injury.
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