Skip to main content

Traumatic Brain Injury (TBI)—Long-Term Care

Mark Allen Prats, MD and Stephanie Carroll, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Traumatic brain injury (TBI) is caused by external trauma to the brain and may result in chronic impairment of physical, cognitive, and psychosocial function. The management of acute...

DIAGNOSIS

HISTORY

  • Most neurologic complications appear within days following injury; long-term sequelae include seizures, headache, hydrocephalus, visual defects, neuroendocrine abnormalities, and move...

TREATMENT

GENERAL MEASURES

  • Typically requires an integrative, multidisciplinary approach to care; goal is to restore maximal independent function.

  • Treat individual patients based on individual symptoms ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Patients make slow, steady gains; review medical status monthly. 

DIET

Ensure adequate hydration and nutrition. 

PATIENT EDUCATION

  • Brain Injury Netw...

REFERENCES

1
Management of Concussion/mTBI Working Group. VA/DoD Clinical Practice Guideline for management of concussion/mild traumatic brain injury. J Rehabil Res Dev.  2009;46(6):CP1–CP68. [Vie...

ADDITIONAL READING

  • Diaz-Arrastia R, Kochanek PM, Bergold P, et al. Pharmacotherapy of traumatic brain injury: state of the science and the road forward: report of the Department of Defense Neurotrauma...

CODES

ICD10

  • S06.0X0S Concussion without loss of consciousness, sequela

  • S06.9X9S Unsp intracranial injury w LOC of unsp duration, sequela

  • S06.0X1S Concussion w LOC of 30 minutes or less, sequela

  • S06.0X2S C...

CLINICAL PEARLS

  • TBI can cause chronic neurologic and nonneurologic manifestations.

  • Treatment involves a comprehensive multi- and interdisciplinary team.

  • Prevention of TBI is more effective than treatmen...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×