The role of proton neurospectroscopy in the assessment of brain function, estimation of coma duration, and prediction of outcome in severe traumatic brain injury.

摘要

Traumatic (or closed) brain injury has an annual incidence in the United States of approximately 150 per 100,000, more commonly affects males, and is often the result of motor vehicle accidents (particularly in those aged 15 to 24 years in the USA) and of falls (particularly in those aged over 64 years). In 1974, Graham Teasdale and Bryan Jennett, from the Glasgow University Department of Neurosurgery, published the Glasgow Coma Scale. They developed this scale on the basis that in gauging change (deterioration or improvement) in the acute stage of a condition associated with coma or impaired consciousness, and in predicting the ultimate outcome, 'the degree and duration of altered consciousness usually overshadow all other clinical features in importance.