Coup-Contrecoup
Background
- Type of TBI
- Coup: injury site on the side of the blunt force mechanism
- Contrecoup: opposing side injury from movement of the brain and cerebral spinal fluid shift from translational forces
Clinical Features
- TBI like symptoms
- Headache
- Visionary discomfort
- Nausea/vomiting
- Dizziness
- Fatigue
- Uneven gait
Differential Diagnosis
- Concussion
- Skull Fracture
Intracranial Hemorrhage Types
- Intra-axial
- Hemorrhagic stroke (Spontaneous intracerebral hemorrhage)
- Traumatic intracerebral hemorrhage
- Extra-axial
- Epidural hemorrhage
- Subdural hemorrhage
- Subarachnoid hemorrhage (aneurysmal intracranial hemorrhage)
Evaluation
Labs and Imaging
- Trauma Labs depending on history (or lack there of)
Management
- Assess for additional injuries
- Analgesia
- Consider neurosurgery, trauma consult depending on degree of injury
Disposition
- Often kept for observation
- Home if at baseline, no additional injuries
- Inform about post-concussive symptoms
- Outpatient concussion/head trauma clinic if available
Also See
This article is issued from
Wikem.
The text is licensed under Creative
Commons - Attribution - Sharealike.
Additional terms may apply for the media files.