UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325

MILD COMBAT-RELATED HEAD INJURIES: CURRENT FEATURES

Abstract

Based on a review of the literature, modern problems of neurosurgical treatment of craniocerebral injuries that occur, including during hostilities, are considered, most of which are patients with concussion and mild brain contusions, that is, mild traumatic brain injury (MTBI). It has been shown that patients with MTBI need special attention due to the underestimation of their condition and the inadequacy of treatment and rehabilitation in the acute period, which significantly aggravates the prognosis of the long-term period. The analysis of existing ideas about the pathogenesis of the formation of clinical, immunological and neuroendocrine disorders, the ratio of focal organic and neurodynamic disorders at different times of the remote period of MTBI was carried out, which will allow developing effective algorithms for diagnostic examination, medical observation of such patients to improve treatment results and prevent social and household maladaptation.

References

  1. The Role of Blood Biomarkers for Magnetic Resonance Imaging Diagnosis of Traumatic Brain Injury / J. K. Yue, P. S. Upadhyayula, L. N. Avalos et al. // Medicina (Kaunas). 2020. Vol. 22, Vol. 56(2). P. 87. DOI: https://doi.org/10.3390/medicina56020087.
  2. Mild traumatic brain injury in the United States: demographics, brain imaging procedures, healthcare utilization and costs/ V. Pavlov, P. Thompson-Leduc, L. Zimmer [et al.] // Brain Inj. 2019. Vol. 26. P. 1—7. DOI: https://doi.org/10.1080/02699052.2019.1629022.
  3. Pedachenko Ye. H., Danchyn O. H., Polishchuk M. Ye., Tsymbaliuk V. I. Orhanizatsiia nevidkladnoi spetsializovanoi neirokhirur hichnoi dopomohy u viiskovyi chas : metod. rekomendatsii. Kyiv, 2014. 10 s.
  4. Silverberg N. D. Behavioral treatment for posttraumatic headache after mild traumatic brain injury: Rationale and case series / N. D. Silverberg // NeuroRehabilitation. 2019. Vol. 44 (4). P. 523—30. DOI: https://doi.org/10.3233/NRE-192708.
  5. Nevidkladna viiskova khirurhiia; per. z anhl. ; nauk. redaktory: V. Chaplyk, P. Oliinyk, A. Tsehelskyi. Kyiv : Nash format, 2022. 576 s. DOI: https://sprotyvg7.com.ua/wp-content/uploads/2023/06/ebook-nevidkladna-vijskovahirurgiya-622262.pdf.
  6. Krishtafor D. A., Kligunenko E. N., Krishtafor A. A. Sravnitelnaya kharakteristika politravmy mirnogo vremeni i boyevoy travmy v statsionare III urovnya. Meditsina nevіdkladnikh stanіv. 2019. No. 3 (98). S. 127—133. DOI: https://doi.org/10.22141/2224-0586.3.98.2019.165490.
  7. Predicting functional recovery after mild traumatic brain injury: the SHEFBIT cohort / J. Booker, S. Sinha, K. Choudhari [et al.] // Brain Inj. 2019. Jun; Vol. 19. P. 1—7. DOI: https://doi.org/10.1080/02699052.2019.1629626.
  8. Emergency War Surgery. Fourth United States Revision / Ed. by M. A. Cubano. San-Antonio, 2013. 589 p. URI: https://lvassembly.files.wordpress.com/2018/01/emergencywarsurgery.pdf.
  9. McDonald S. J. Biomarkers add value to traumatic brain injury prognosis / S. J. McDonald, T. J. O’Brien, S. R. Shultz // Lancet Neurol. 2022. Vol. 21 (9). P. 761—763. DOI: https://doi.org/10.1016/S1474-4422(22)00306-4.
  10. Blennow K. The neuropathology and neurobiology of traumatic brain injury / K. Blennow, J. Hardy, H. Zetterberg // Neuron. 2012. Vol. 76(5). P. 886—99. DOI: https://doi.org/10.1016/j.neuron.2012.11.021.
  11. Иванова М. Ф. Особенности консервативной терапии черепно-мозговых травм в остром и отдаленном периодах (лекция) / М. Ф. Иванова, С. К. Евтушенко, И. С. Евтушенко // Міжнародний неврологічний журнал. 2015. № 2 (72). URI: http://www.mif-ua.com/archive/article/41278.
  12. Purkayastha S. Autonomic nervous system dysfunction in mild traumatic brain injury: a review of related pathophysio logy and symptoms / S. Purkayastha, M. Stokes, K. R. Bell // Brain Inj. 2019. Vol. 33(9). P. 1129—1136. DOI: 10.1080/02699052.2019.1631488.
  13. Маркин С. П. Черепно-мозговая травма в практике врача // Consilium Medicum. 2013. Т. 15, № 2. С. 5—40. URL: https://consilium.orscience.ru/2075-1753/article/view/93731.
  14. Дроздова Е. А. Когнитивные функции в остром периоде сотрясения головного мозга / Е. А. Дроздова, В. В. Захаров // Неврологический журнал. 2012. Т. 17, № 2. С. 15—21. URL: https://cyberleninka.ru/article/n/kognitivnyefunktsii-v-ostrom-periode-sotryaseniya-golovnogo-mozga (дата обращения: 01.08.2023).
  15. Цюрюпа В. Н. Исследование когнитивных вызванных потенциалов у больных с отдаленными последствиями черепно-мозговой травмы / В. Н. Цюрюпа, Т. Л. Визило, И. В. Власова // Медицинская практика. 2007. № 6. С. 34—36. https://cyberleninka.ru/article/n/issledovanie-kognitivnyh-vyzvannyh-potentsialov-u-bolnyh-s-otdalennymi-posledstviyamicherepno-mozgovoy-travmy (дата обращения: 01.08.2023).
  16. GFAP-BDP as an acute diagnostic marker in traumatic brain injury: results from the prospective transforming research and clinical knowledge in traumatic brain injury study / D. O. Okonkwo, J. K. Yue, A. M. [et al.] ; Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) Investigators // J Neurotrauma. 2013. Vol. 30 (17). P. 1490—1497. DOI: https://doi.org/10.1089/neu.2013.2883.
  17. Incremental prognostic value of acute serum biomarkers for functional outcome after traumatic brain injury (CENTERTBI): an observational cohort study / I. Helmrich, E. Czeiter, K. Amrein [et al.] ; CENTER-TBI participants and investigators // Lancet Neurol. 2022. Vol. 21(9). P. 792—802. DOI: https://doi.org/10.1016/S1474-4422(22)00218-6.
  18. Traumatic Brain Injury in Later Life Increases Risk for Parkinson Disease / R. C. Gardner, J. F. Burke, J. Nettiksimmons [et al.] // Ann Neurol. 2015. Vol. 7(6). P. 987—95. DOI: https://doi.org/10.1002/ana.24396.
  19. Risk factors for mortality of severe trauma based on 3 years’ data at a single Korean institution / J. Sim, J. Lee, J. C. Lee [et al.] // Ann. Surg.Treat. Res. 2015. Vol. 89(4). P. 215— 219. DOI: https://doi.org/10.4174/astr.2015.89.4.215.
  20. Ребко А. А. Легкая черепно-мозговая травма: современный взгляд на проблему // Проблемы здоровья и экологии. 2020. № 2 (64). С. 21—27.
  21. Bhandari P. S. Reconstructive challenges in war wounds / P. S. Bhandari, S. Maurya, M. K. Mukherjee // Indian J. Plast Surg. 2012. Vol. 45(2). P. 332—339. DOI: https://doi.org/10.4103/0970-0358.
  22. The Levels of Glial Fibrillary Acidic Protein and Ubiquitin  C-Terminal Hydrolase-L1 During the First Week After a Traumatic Brain Injury: Correlations With Clinical and Imaging  Findings study / J. P. Posti, R. S. Takala, H. Runtti [et al.] // Neurosurgery. 2016. Vol. 79 (3). P. 456—464. DOI: https://doi.org/10.1227/NEU.0000000000001226.
  23. Improved survival in UK combat casualties from Iraq and Afghanistan: 2003—2012 / [J. G. Penn-Barwell, S. A. Roberts, J. R. Bishop, M. J. Midwinter] // The Journal of Trauma and Acute Care Surgery. 2015. Vol. 78 (5). P. 1014—1020. DOI: https://doi.org/10.1097/ta.0000000000000580.
  24. Will Neuroimaging Reveal a Severe Intracranial Injury in This Adult With Minor Head Trauma? The Rational Clinical Examination Systematic Review / J. S. Easter, J. S. Haukoos, W. P. Meehan [et al.] // JAMA. 2015. Vol. 314 (24). P. 2672— 2681. DOI: https://doi.org/10.1001/jama.2015.16316. Erratum in: JAMA. 2017. Vol. 317 (19):2021. PMID: 26717031.
  25. Assessment of mechanism, type and severity of injury in multiple trauma patients: A cross sectional study of a trauma center in Iran / H. Reihani, H. Pirazghandi, E. Bolvardi [et al.] // Chin. J. Traumatol. 2017. Vol. 20(2). P. 75—80. DOI: https://doi.org/10.1016/j.cjtee.2016.02.004.
  26. Examining four blood biomarkers for the detection of acute intracranial abnormalities following mild traumatic brain injury in older adults / G. L. Iverson, M. Minkkinen, J. E. Karr [et al.] // Front Neurol. 2022. Vol. 13: 960741. DOI: https://doi.org/10.3389/fneur.2022.960741.
  27. Blood biomarkers on admission in acute traumatic brain injury: Relations to severity, CT findings and care path in the CENTER-TBI study / E. Czeiter, K. Amrein, B. Y. Gravesteijn [et al.] // EBioMedicine. 2020. Vol. 56: 102785. DOI: https://doi.org/10.1016/j.ebiom.2020.102785.
  28. Шурпяк І. В. Легка черепно-мозкова травма та її наслідки // Семейная медицина. 2013. № 1. С. 67—73. URI: http://nbuv.gov.ua/UJRN/simmed_2013_1_16.
  29. Mortality Patterns in Patients with Multiple Trauma: A Systematic Review of Autopsy Studies / R. Pfeifer, M. Teuben, H. Andruszkow [et al.] // PLoS One. 2016. Vol. 11(2). DOI: https://doi.org/10.1371/journal.pone.0148844.
  30. Maas A. I. R. Traumatic brain injury: rethinking ideas and approaches / A. I. R. Maas, D. K. Menon // Lancet. neurol. 2012. Vol. 11 (1). P. 12—13. DOI: https://doi.org/10.1016/j.jemermed.2015.03.013.
  31. Оптимизация когнитивной нейрореабилитации па циентов с боевыми травмати чес кими повреждениями голов ного мозга / В. В. Белошицкий, А. П. Гук, Т. С. Бондарь [и др.] // Международный неврологический журнал. 2016. № 5 (83). С. 70—75. URI: https://cerebrolysin.com.ua/fileadmin/user_upload/TBI/2023/Cerebrolysin-Biloshizkij-6-23.pdf.
  32. Diagnostic accuracy of prehospital serum S100B and GFAP in patients with mild traumatic brain injury: a prospective observational multicenter cohort study — “the PreTBI I study” / S. C. Seidenfaden, J. L. Kjerulff, N. Juul [et al.] // Scand J Trauma Resusc Emerg Med. 2021. Vol. 29 (1). P. 75. DOI: https://doi.org/10.1186/s13049-021-00891-5.
  33. Outcome after severe multiple trauma: a retrospective analysis / C. von Rüden, A. Woltmann, M. Röse [et al.] // J. Trauma Manag. Outcomes. 2013. Vol. 7 (1). P. 4. DOI: https://doi.org/10.1186/17522897-7-4.
  34. Combining the new injury severity score with an anatomical polytrauma injury variable predicts mortality better than the new injury severity score and the injury severity score: a retrospective cohort study / T. H. Wong., G. Krishnaswamy, N. V. Nadkarni [et al.] // Scand J Trauma Resusc Emerg Med. 2016. Vol. 24. P. 25. DOI: https://doi.org/10.1186/s13049-016-0215-6.
  35. Полищук Н. Е. Прогнозирование исходов огнестрельных ранений черепа / Н. Е. Полищук, Э. Х. Бабаев, Д. Д. Мамедов // Український нейрохірургічний журнал. 2001. № 4. С. 112—115. URI: http://nbuv.gov.ua/UJRN/Unkhj_2001_4_19.
  36. Extracellular Vesicle Levels of Nervous System Injury Biomarkers in Critically Ill Trauma Patients with and without Traumatic Brain Injury / V. A. Guedes, S. Mithani, C. Williams [et al.] // Neurotrauma Rep. 2022. Vol. 3 (1). P. 545—553. DOI: https://doi.org/10.1089/neur.2022.0058.
  37. Loane D. J. Microglia in the TBI brain: The good, the bad, and the dysregulated / D. J. Loane, A. Kumar // Exp Neurol. 2016. Vol. 3. P. 316—27. DOI: https://doi.org/10.1016/j.expneurol.2015.08.018.
  38. Chronic gliosis and behavioral deficits in mice following repetitive mild traumatic brain injury / Mannix R., Berglass J., Berkner J. [et al.] // J Neurosurg. 2014. Vol. 121. P. 1342—50. DOI: https://doi.org/10.3171/2014.7.JNS14272.
  39. Mathews Z. R. Blast Injuries / Z. R. Mathews, A. Koyfman // J. Emerg. Med. 2015. Vol. 49(4). P. 573—587. DOI: https://doi.org/10.1016/j.jemermed.2015.03.013.
  40. Incidence of Mild Traumatic Brain Injury: A Prospective Hospital, Emergency Room and General Practitioner-Based Study / T. Skandsen, T. L. Nilsen, C. Einarsen [et al.] // Front Neurol. 2019. Vol. 10. P. 638. DOI: https://doi.org/10.3389/fneur.2019.00638.