Concussion occurs with some frequency in a variety of sports. Any trauma to the brain can also result in temporary or chronic olfactory dysfunction. The relationship between sports concussion and olfactory dysfunction is not well studied, nor do we know whether only more severe injuries result in smell impairments. Three sports players who had previously experienced either a moderate or severe concussion were compared to matched controls. Only the player with a previous severe concussion had a current olfactory impairment. We tentatively suggest that the distinction between moderate and severe concussion may represent a possible cut-off between the presence and absence of olfactory impairment in sports players.
Alicia Cárdenas García*, Sara García Mateo, María Sol González Bennike, Berta Alonso García, María Teresa Gómez Álvarez, Francisco de Borja Hernández Moreno and Clara Ponce Aceituno
Published on: 26th March, 2024
In this case report a 64-year-old male patient with recent past medical history of head injury complicated by zygomatic arc fracture and mild subarachnoid hemorrhage is studied. He had been presented to the Emergency Department because of progressive neurological symptoms and neurological deficits in the physical examination that could have been indicating subcacute subdural hemorrhage. However, the patient was reluctant to undergo diagnostic imaging due to concerns about radiation exposure. After several explanations, a CT scan was done, which revealed a bilateral subacute subdural hematoma. Neurosurgical management was initiated and intravenous corticosteroid therapy was administered to reduce local edema. The challenge of this case is based on the subtlety of symptoms that might cause patients to delay seeking medical attention. Additionally, patient reluctance to undergo diagnostic tests can complicate management, emphasizing the importance of patient education and therapeutic alliance. Multidisciplinary management involving Neurology and Neurosurgery is crucial for optimal patient care in such cases. This report underscores the significance of effective communication and collaborative decision-making between healthcare providers and patients to ensure timely and appropriate management of complex medical conditions.
Subhash Chandra*, Pradeep KR, Jitendra P Kait, SK Gupta and Deepa Verma
Published on: 23rd December, 2024
This case study is based on a crime scene examination murder of a young person. This case was reported in the police station located in the north-northeast district of Delhi, India. An unknown dead body was found lying on the roadside with a head injury, suspected to be a road accident. A team of forensic experts was called for a crime scene examination. After examination, it was observed that the body had multiple injuries. There was a blood pattern seen behind the hand and the head of the dead body. This was a suspicion of a murder case, instead road accident. After body identification by the family members and the last location of the victim, the place of murder i.e. house has been identified and examined by the expert team and found a lot of incriminating evidence from the scene of the crime. A two-wheeler was recovered suspected to be used to dump the dead body on the roadside. After examination of the vehicle, clue material found it was found. After a complete examination of the spot and vehicle, sufficient forensic evidence was collected and preserved to establish the crime was murder, not a road accident. This case study involved the application of scientific tools, interpretation of the sequence of evidence at the scene, systematic study of case-related information, and the logical formulation of a theory to give the proper information to the investigating agency. It has been concluded that the boy was murdered in the room and dumped roadside by using the bike.
Objectives: Hospitalization following a head injury is associated with high rates of disability that have a strong correlation with depression, anxiety, and low self-esteem. Well-being is related to life satisfaction, quality of life, happiness, personal growth and flourishing, competence, self-acceptance, positive relationships, and autonomy. The well-being of patients and their primary caregivers is important when a patient is left with impaired mobility after neurosurgery. The aim of this study is to examine whether the well-being of patients and their primary caregivers will differ before and after neurosurgery, and whether well-being differs between patients with motor disability (WMD group) and those without, compared to those who are not - NMD group (non-motor disability).Methodology: 123 patients and their main caregivers were recruited. Of these, 62 were in the before neurosurgical group, 31 Patients and 31 caregivers. 61 in the after neurosurgical group, 30 Patients and 31 caregivers, of which there are 16 from WMD group and 15 from NMD. Main outcome measures: Two analyses of Variance (ANOVA) were conducted: for WMD and NMD separately. The results reveal a significant decrease in wellbeing for both, patient and main caregivers, but a stronger decline in well-being was observed among WMD, as indicated by a larger effect size (η² = 0.74) compared to the NMD (η² = 0.38). In addition, no significant effect between group and time of measurement was found, indicating that the decrease in wellbeing was not different among patients compared to their main caregivers. Conclusion: The findings highlight the multifaceted impact of neurosurgery on well-being, particularly for patients who remain with motor disabilities and their primary caregivers.The decline in well-being after neurosurgery highlights the need for improved social support and the importance of developing treatment programs that can help ease the process of coping with these phenomena and provide appropriate support for both patients and their primary caregivers.
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