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Sample records for svaer traumatisk hjerneskade

  1. Rehabilitering af svaer traumatisk hjerneskade

    DEFF Research Database (Denmark)

    Nordenbo, Annette M; Jakobsen, Johannes K

    2007-01-01

    of the level of consciousness. Patients were assessed using established rating-scales. Local social authorities were involved at discharge. RESULTS: Of 77 consecutive patients, 5 died before follow-up and 6 patients were not seen at follow up. 79% of the remaining group had post-traumatic amnesia lasting more...

  2. Neurointensiv behandling af svaere traumatiske hjerneskader

    DEFF Research Database (Denmark)

    Welling, Karen-Lise Kobberø; Eskesen, Vagn; Romner, Bertil

    2010-01-01

    We present a Danish algorithm for the neurointensive care of patients with severe traumatic brain injury. The primary goal is to avoid cerebral ischaemia and hypoxia and secondarily brain injury. Patient evaluation by a neurosurgeon is mandatory, and decision-making concerning extended cerebral...

  3. Kognitive forstyrrelser ved svaer traumatisk hjerneskade

    DEFF Research Database (Denmark)

    Engelmann, Christina Malling; Siert, Lars

    2007-01-01

    Traumatic brain injury (TBI) very often has extensive effects of cognitive character such as changes in recognition, thought, memory, language and perception. The purpose of this paper is to give a short status of cognitive impairment after severe traumatic brain injury and to illustrate that cog...

  4. Aktivt induceret hypotermi efter svaer traumatisk hjerneskade

    DEFF Research Database (Denmark)

    Grände, Per-Olof; Welling, Karen-Lise; Eskesen, Vagn

    2010-01-01

    A Cochrane metaanalysis and a study performed on children have recently confirmed that therapeutic hypothermia does not improve outcome after severe traumatic brain injury (TBI). TBI is not comparable to a short episode of global ischemia, where therapeutic hypothermia has been shown to improve...... outcome. The difference may be explained by the fact that hypothermia-induced stress after a traumatic brain injury reduces cerebral perfusion in the penumbra zone, where local circulation is already reduced. Thus, to date there is no indication for therapeutic hypothermia in TBI patients....

  5. Aktivt induceret hypotermi efter svaer traumatisk hjerneskade

    DEFF Research Database (Denmark)

    Grände, Per-Olof; Welling, Karen-Lise; Eskesen, Vagn

    2010-01-01

    A Cochrane metaanalysis and a study performed on children have recently confirmed that therapeutic hypothermia does not improve outcome after severe traumatic brain injury (TBI). TBI is not comparable to a short episode of global ischemia, where therapeutic hypothermia has been shown to improve...

  6. Tidlig intensiv rehabilitering efter meget svaer traumatisk hjerneskade. Opfølgning seks måneder efter udskrivelsen

    DEFF Research Database (Denmark)

    Liebach, Annette; Nordenbo, Annette Mosbaek; Engberg, Aase Worsaae

    2007-01-01

    In September 2000 the Brain Injury Unit at Hvidovre Hospital was established, offering subacute intensive rehabilitation to patients with severe traumatic brain injury. Uptake area: Eastern part of Denmark, the Faroe Islands and Greenland. Outcome 6 months after discharge is presented for patient...

  7. En hunds betydning for mennesker med en erhvervet hjerneskade. To cases

    DEFF Research Database (Denmark)

    Glintborg, Chalotte

    2014-01-01

    En erhvervet hjerneskade medfører ofte svære psykosociale konsekvenser som fx depression, angst, ensomhed, identitetskrise eller øget risiko for selvmord (fx Wilson & Gracey, 2009). Forskningen indenfor dyreassisteret terapi (Animal Assisted Therapy, AAT) viser, at tilstedeværelsen af dyr kan have...... hjerneskaderehabilitering, da det kan bruges som et redskab, der supplerer og varierer den vante rehabiliteringspraksis. “A small pet animal is often an excellent companion for the sick”. (Florence Nightingale (1820-1910) (Notes on Nursing, 1860)...

  8. Traumatisk ventralhernie

    DEFF Research Database (Denmark)

    El-Charnoubi, Waseem A Ghulam; Berg, Jais Oliver; Rosenstock, Steffen Jais

    2010-01-01

    Traumatic abdominal wall hernias are rare. We describe a case of a handlebar hernia which was initially misinterpreted as a rectus haematoma, and consequently the patient was discharged without any treatment. The patient was admitted two days after with severe pain and computed tomography showed ...... a defect in the abdominal wall. The patient underwent laparoscopic hernial repair with a Goretex mesh after some weeks when the primary tissue damage had subsided....

  9. Moral og hjerneskade

    DEFF Research Database (Denmark)

    Ryberg, Jesper

    2015-01-01

    Neurovidenskabens grand old man Antonio Damasio har undersøgt, hvordan ellers normalt fungerende mennesker med en skade i den nedre del af pandelappen vurderer andres adfærd. Resultatet var højst bemærkelsesværdigt....

  10. Cykelhjelm forebygger hjerneskade

    DEFF Research Database (Denmark)

    Forsse, Axel; Eskesen, Vagn; Springborg, Jacob Bertram

    2015-01-01

    that there is scientific evidence of bicycle helmet efficacy with a protective effect on serious brain injury of 63-88%. There is no consensus in favour of the effect of bicycle helmet legislation, although a Cochrane review from 2007 showed a significant reduction of injuries among children....

  11. Klavikelduplikation efter traumatisk klavikelepifysiolyse

    DEFF Research Database (Denmark)

    Pedersen, Lasse; Frich, Lars Henrik

    2009-01-01

    A case of a 15-year-old boy with an injury to the distal clavicle resulting in a "banana peel lesion" and subsequent formation of a "neoclavicle" in the empty periostal sleeve is presented and discussed. Udgivelsesdato: Aug-17......A case of a 15-year-old boy with an injury to the distal clavicle resulting in a "banana peel lesion" and subsequent formation of a "neoclavicle" in the empty periostal sleeve is presented and discussed. Udgivelsesdato: Aug-17...

  12. Aortahomograftoperationer ved svaer endokarditis

    DEFF Research Database (Denmark)

    Foghsgaard, S.; Kjaergard, H.K.; Bruun, Niels Eske

    2008-01-01

    INTRODUCTION: Severe endocarditis of the native aortic valve or a prosthetic valve with destruction of the cusps, paravalvular abscess formation and/or fistulas caused by aggressive bacteria has a mortality of almost 100% without surgery. The objective was to evaluate the results of treatment...... in an intravenous drug abuser was registered after 4 years. CONCLUSION: An aortic homograft in combination with intravenous antibiotics is an excellent treatment of severe endocarditis in the aortic valve or an aortic valve prosthesis Udgivelsesdato: 2008/5/5...

  13. Traumatiske fødselsopplevelser og PTSD

    OpenAIRE

    Aashaug, Elisabeth

    2006-01-01

    ABSTRACT For a long time it has been known that a childbirth can bee traumatic for some women. With the changes in DSM-IV in 1994, the diagnosis of Posttraumatic Stress Disorder (PTSD) can be made based upon a traumatic birth experience. Based on a literature search, this paper look at the experience of a traumatic birth, and how it can develop into postnatal PTSD. It also looks at the incident, potential risk factors and treatment for postnatal PTSD. A MEDLINE, PSYCHLIT and COCHRANE...

  14. Osmotisk demyeliniseringssyndrom ved Addisonkrise og svaer hyponatriaemi

    DEFF Research Database (Denmark)

    Andersen, Signe Elisabeth Bødker; Stausbøl-Grøn, Brian; Rasmussen, Torsten Bloch

    2008-01-01

    Acute adrenal insufficiency is a life threatening disease with dehydration, hypotension, cerebral dysfunction and gastrointestinal symptoms accompanied by low plasma sodium and high plasma potassium. Osmotic demyelination syndrome (ODS) can occur rarely following correction of plasma sodium. We d...

  15. Sygehusomkostninger i forbindelse med svaer overvaegt

    DEFF Research Database (Denmark)

    Worre-Jensen, Ann Louise; Jensen, Nicolaj Bjørn; Heitmann, Berit L

    2007-01-01

    INTRODUCTION: The prevalence of obesity and obesity-related co-morbidities in the Danish adult population is continuously rising and demands on the Danish health care system are consequently increasing. Quantitative measures of the economic costs related to obesity constitute a necessary basis fo....... The health-economic costs related to obesity in Denmark depend on the prevalence of obesity and as a consequence are expected to rise as the current obesity epidemic further develops.......INTRODUCTION: The prevalence of obesity and obesity-related co-morbidities in the Danish adult population is continuously rising and demands on the Danish health care system are consequently increasing. Quantitative measures of the economic costs related to obesity constitute a necessary basis...... for the organization of treatments, health promotion and for health policies. MATERIALS AND METHODS: On the basis of studies of the prevalence of obesity in the Danish adult population and estimates of the increased risk of co-morbidity among obese, the number (and a sensitivity-interval) of hospital contacts in 2003...

  16. Livsstilsintervention i behandlingen af svaer fedme

    DEFF Research Database (Denmark)

    Pedersen, Jane Østergaard; Zimmermann, Esther; Stallknecht, Bente Merete

    2006-01-01

    activity, dietary changes and personal development in severely obese subjects of both sexes. MATERIALS AND METHODS: The 27 subjects were weighed weekly. Fat percentage, abdominal circumference, maximum oxygen uptake, heart rate, oral glucose tolerance and blood lipids were measured at baseline and in week.......03); there was no significant change in LDL level and a reduction of 15% (p... parameters, and the observed weight loss was equivalent to that obtained by surgical treatment. Decisive in the choice of obesity treatment will continue to be the extent of success in permanent weight loss. Udgivelsesdato: 2006-Jan-9...

  17. Svaer metabolisk acidose hos en kronisk alkoholiker

    DEFF Research Database (Denmark)

    Sonne, Morten Egede; Rudolph, Søren Finnemann; Pott, Frank Christian

    2008-01-01

    Severe metabolic acidosis is associated with poor prognosis. We present a patient with profound alcohol and starvation-related combined lactic and keto acidosis (lactate = 29 mM; pH = 6.83) who made a good recovery following 18 hours of intensive care therapy. A brief summary of the proposed mech...

  18. Svaer hyperkaliaemi ved gastroenteritis hos kolektomeret patient

    DEFF Research Database (Denmark)

    Hansen, Lasse Bremholm; Winkel, Rasmus; Hansen, Erik Feldager

    2010-01-01

    Severe hyperkalemia is a life-threatening condition that causes primarily cardiac and muscular dysfunction with potentially fatal consequences. This case report describes a case of severe hyperkalemia (9,1 mmol/l) caused by acute prerenal failure due to dehydration. The severe dehydration was cau...... was caused by a combination of reduced fluid intake due to gastroenteritis and a hampered capacity for intestinal fluid absorption, due to previous colectomy. The patient developed classic signs of hyperkalemia with electrocardiogram changes and muscular dysfunction....

  19. Behandling af svaer hypovolaemi med hypertont saltvand

    DEFF Research Database (Denmark)

    Rask, H; Nielsen, S L; Crawford, M E

    1996-01-01

    of hypovolaemia HS instantaneously expands plasma volume and improves central haemodynamics through increased filling pressures and direct myocardial stimulation. HS, as compared to isotonic fluids, causes precapillary vasodilation, reduction of cell oedema and decreased haematocrit and hence improves regional...... and capillary perfusion. Furthermore HS-infusion has been shown to attenuate reperfusion injury and restore cell function in cells damaged during hypovolaemic shock. Animal experiments as well as clinical studies on the use of HS are reviewed. A short description of the pathophysiology of acute hypovolaemic...

  20. Traumatiske laesioner af a. axillaris og a. brachialis

    DEFF Research Database (Denmark)

    Bitsch, M; Hensler, M K; Schroeder, T V

    1994-01-01

    During af six year period 16 patients were treated for an axillary or brachial artery trauma. The vascular injury was caused by fracture in nine cases, contusion in four and penetrating injury in three. Concomitant nerve or tendon lesion occurred in five cases. Five of the 16 events were industri...

  1. Traumatisk distal humerus-epifysiolyse hos nyfødt

    DEFF Research Database (Denmark)

    Al-Aubaidi, Zaid; Nielsen, Keld Daubjerg

    2010-01-01

    Traumatic distal humerus epiphysiolysis (TDHE) is a rare injury in infants with an incidence of about 1:35,000 births. It is primarily a birth injury, but it is also seen in cases of battered child syndrome. Because of its rare occurrence and the diagnostic difficulties, the lesion may be overloo......Traumatic distal humerus epiphysiolysis (TDHE) is a rare injury in infants with an incidence of about 1:35,000 births. It is primarily a birth injury, but it is also seen in cases of battered child syndrome. Because of its rare occurrence and the diagnostic difficulties, the lesion may...

  2. Stresshyperglykaemi hos et barn med svaer akut gastroenteritis

    DEFF Research Database (Denmark)

    Bjerre, Jesper V.

    2002-01-01

    A case of a two years and ten months old girl with severe acute gastroenteritis, dehydration, and hyperglycaemia is described. Transient hyperglycaemia is a common clinical finding in children under stress. We discuss the distinction between hyperglycaemia as a prediabetic state and that as a phy......A case of a two years and ten months old girl with severe acute gastroenteritis, dehydration, and hyperglycaemia is described. Transient hyperglycaemia is a common clinical finding in children under stress. We discuss the distinction between hyperglycaemia as a prediabetic state...

  3. Recidiverende pneumothorax på grund af traumatisk diafragmalæsion

    DEFF Research Database (Denmark)

    Lehnert, Per; Christensen, Merete; Ravn, Jesper

    2011-01-01

    We present a case where a patient is diagnosed with a traumatic right-sided diaphragmatic rupture ten years after the trauma, after eight incidences of pneumothorax and two thoracoscopic operations. Ten years before the current case, the female patient was the victim of a blunt thoraco-abdominal ......We present a case where a patient is diagnosed with a traumatic right-sided diaphragmatic rupture ten years after the trauma, after eight incidences of pneumothorax and two thoracoscopic operations. Ten years before the current case, the female patient was the victim of a blunt thoraco......-abdominal trauma. In the following years, she had recurrent right-sided pneumothorax and no effect of thoracoscopic surgery. In connection with the third thoracoscopic operation, a right-sided diaphragm lesion was discovered. We believe that part of the syndrome catamenial pneumothorax, where air is thought...

  4. Overlevelse og dødsårsager efter traumatisk rygmarvsskade. Et epidemiologisk langtidsstudie

    DEFF Research Database (Denmark)

    Hartkopp, P A; Brønnum-Hansen, Henrik; Seidenschnur, A M

    1998-01-01

    Life expectancy among individuals with spinal cord injuries (SCI) has remained lower than normal, even with optimal medical management. But improvement has been achieved, as shown by this study of an unselected population of survivors of traumatic SCI, dead or still living. There has been complete...... follow-up over four decades. The survey included a total of 888 individuals who had survived the injury and were rehabilitated at the Centre for the Spinal Cord Injured, East-Denmark between 1.1.1953-31.12.1990. At the end of the follow-up, 31st of December 1992, 236 had died. The most common causes...... of causes of death in the study group begin to approximate those of the general population....

  5. Traumatisk hofteluksation efter fald på kælk

    DEFF Research Database (Denmark)

    Halschou-Jensen, Peter Max; Balslev-Clausen, Andreas; Søndergaard, Peter

    2016-01-01

    Traumatic hip dislocation is uncommon in children. Yet, it represents an orthopaedic emergency, because delayed treatment can lead to avascular necrosis of the femoral head. In this case a four-year-old boy and an eight-year-old girl were treated in an emergency department less than two weeks apart...

  6. Svaer vitamin B12-mangel hos spaedbørn brysternaeret af veganere

    DEFF Research Database (Denmark)

    Roed, Casper; Skovby, Flemming; Lund, Allan Meldgaard

    2009-01-01

    Weight loss and reduction of motor skills resulted in paediatric evaluation of a 10-month-old girl and a 12-month-old boy. Both children suffered form anaemia and delayed development due to vitamin B12 deficiency caused by strict maternal vegan diet during pregnancy and nursing. Therapy with cyan......Weight loss and reduction of motor skills resulted in paediatric evaluation of a 10-month-old girl and a 12-month-old boy. Both children suffered form anaemia and delayed development due to vitamin B12 deficiency caused by strict maternal vegan diet during pregnancy and nursing. Therapy...... with cyanocobalamin was instituted with remission of symptoms. Since infants risk irreversible neurologic damage following severe vitamin B12 deficiency, early diagnosis and treatment are mandatory. Vegan and vegetarian women should take vitamin B12 supplementation during the pregnancy and nursing period...

  7. Rhizotomibehandling af børn med svaer spastisk cerebral parese

    DEFF Research Database (Denmark)

    Illum, Niels Ove; Torp-Pedersen, Lisbeth; Midholm, Steen

    2006-01-01

    of concordance between relatively younger age and better post-operative muscular function (Pearson's r = 0.8). CONCLUSION: SDR resulted in early and lasting reduction in spasticity in all 20 children operated upon. Improved muscular function, however, required training and time. Not until 60 months after...

  8. Intratekal baclofenbehandling ved svaer spastisk tetraplegi og dystoni hos børn og unge

    DEFF Research Database (Denmark)

    Illum, Niels Ove; Hansen, Flemming Juul; Fischer, Claudia

    2003-01-01

    INTRODUCTION: Continuous intrathecal baclofen has been used over the past years especially in adult patients with spasticity of spinal origin. Children and young adults with severe spasticity and dystonia of cerebral origin are difficult to treat in spite of optimal systemic antispasmotic therapy...

  9. Udvikling af refraktaert vasodilatorisk shock og permanent høretab efter svaer lithiumforgiftning

    DEFF Research Database (Denmark)

    Plenge, Ulla; Møller, Ann M

    2008-01-01

    organ dysfunction ceased. The patient survived with marked loss of hearing, tinnitus and vertigo as the only sequelae. We discuss the mechanism of lithium's inhibitory effect on the phosphoinositide cascade as the possible explanation for the vasodilatory shock as well as the hearing deficiency....

  10. Udvikling af refraktaert vasodilatorisk shock og permanent horetab efter svaer lithiumforgiftning

    DEFF Research Database (Denmark)

    Moller, A.M.; Plenge, Ulla

    2008-01-01

    organ dysfunction ceased. The patient survived with marked loss of hearing, tinnitus and vertigo as the only sequelae. We discuss the mechanism of lithium's inhibitory effect on the phosphoinositide cascade as the possible explanation for the vasodilatory shock as well as the hearing deficiency...

  11. Det arterielle blodtryks afhaengighed af hjertets fyldning ved svaer ortostatisk hypotension

    DEFF Research Database (Denmark)

    Mehlsen, J; Haedersdal, C; Stokholm, K H

    1995-01-01

    The present study aimed at an investigation of the relation between arterial blood pressure and cardiac filling in patients with severe postural hypotension. Seven patients aged 49 to 84 years were studied during head-up tilt at three different tilt angles (median values: 0, 25, and 45 degrees...... with a reduction in left ventricular end-diastolic volume index from 59 ml m-2 (30-65) to 36 ml m-2 (23-44) and 22 ml m-2 (16-38; p postural reductions in cardiac output were unopposed by vasoconstriction. The study has demonstrated that blood pressure......) using intraarterial blood pressure recordings and estimates of left ventricular volumes by radioisotope ventriculography. Mean arterial blood pressure was reduced from 105 mmHg (79-129) in the horizontal position to 97 mmHg (61-112) and 83 mmHg (36-93; p

  12. Cross sector and interdisciplinary cooperation in brain injury rehabilitation

    DEFF Research Database (Denmark)

    Thomsen, Ane Søndergaard; Hansen, Tia G. B.

    Formidling til dansk publikum af den poster, der er blevet præsenteret på den 10. verdenskongres om hjerneskade i San Francisco d. 20.3.14.......Formidling til dansk publikum af den poster, der er blevet præsenteret på den 10. verdenskongres om hjerneskade i San Francisco d. 20.3.14....

  13. Contest-Nation

    DEFF Research Database (Denmark)

    Holm, Henrik

    2013-01-01

    Analyse af dansk kulturpolitik under "Systemskiftet" i 2001 som ramt af Post Traumatisk Stress Disorder, i en tidsperiode, hvor kulturkamp, Kulturkanon, Muhammedtegninger og 9/11 definerede nationens tilstand....

  14. D-vitamin-1 alpha-hydroxylase-mangel som årsag til svaer rakitis hos en etårig dreng

    DEFF Research Database (Denmark)

    Beck-Nielsen, Signe Sparre; Hertel, Niels Thomas; Brock-Jacobsen, Bendt

    2006-01-01

    We describe a 15-month-old boy referred to the hospital because of delayed development of motor skills and growth retardation. Blood samples and X-rays of the wrists and knees revealed rickets. He was treated with oral calcium and vitamin D with modest clinical and biochemical effect. 1,25-dihydr......We describe a 15-month-old boy referred to the hospital because of delayed development of motor skills and growth retardation. Blood samples and X-rays of the wrists and knees revealed rickets. He was treated with oral calcium and vitamin D with modest clinical and biochemical effect. 1...

  15. PTSD hos ældre efterladte

    DEFF Research Database (Denmark)

    O'Connor, Maja

    2009-01-01

    Intro: Tab af ægtefælle i alderdommen kan være en traumatisk begivenhed med reaktioner og symptomer på linje med dem, man nogle gange ser efter overfald, ulykker og naturkatastrofer. Det slår en ny undersøgelse fast. Udgivelsesdato: Maj 2009...

  16. En slags feststemning

    DEFF Research Database (Denmark)

    Krejberg, Kasper Green

    2010-01-01

    Det kan virke urimeligt at hævde, at W.G. Sebald er en udpræget humoristisk forfatter. Hans bøger handler om historiens ofre, om traumatiske erfaringer før og nu – i særlig grad Holocaust – og om menneskets og naturens ødelæggelser af sig selv og hinanden. Det er det indtryk, langt de fleste læse...