The Assessment of Cognitive Function Determines the Time of Operation of Hydrocephalus Drainage in Severe TBI

The Assessment of Cognitive Function Determines the Time of Operation of Hydrocephalus Drainage in Severe TBI

Author Info

Corresponding Author
Dongsheng Xu
Rehabilitation Section, Spine Surgery Division of Department of Orthopedics, Tongji Hospital Affiliated to Tongji University School of Medicine, Shanghai, China 200065

A B S T R A C T

The incidence of severe traumatic brain injury (TBI) is gradually increasing, and its integrated treatment and rehabilitation in early-stage is increasingly valued by working together with doctors in surgical intensive care unit (SICU), surgeons and rehabilitation doctors. In this report, we presented a seven-year-old child was hit on the right side of the head by a falling glass from the building, causing severe TBI, starting from emergency room (ER), SICU, neurosurgery, spine surgery, whole–process and intensive rehabilitation. The child functionally regained some of his motor functions and most of his cognitive functions step by step from coma to cognition and was expected to return to his schooling finally. The authors of this report discuss the necessity and effectiveness of multidisciplinary integration and early intervention in rehabilitation. The case exhibited that multiple rehabilitation procedures would be conducted in whole process of patients with trauma. Furthermore, rehabilitation physician and therapist play critical roles in evaluation and handling of treatment strategy for precise movement and cognitive functional recovery. Particularly, the cognitive function assessment and treatment has significantly performed in making decision on the opportunity of operation of hydrocephalus. All above, the case offered the model of the integrated rehabilitation in severe TBI.

Article Info

Article Type
Case Report
Publication history
Received: Tue 11, Dec 2018
Accepted: Thu 03, Jan 2019
Published: Tue 29, Jan 2019
Copyright
© 2023 Dongsheng Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2019.01.001