Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Patients with TBI can have a spectrum of physical disabilities with varying severity, depending on the structures or connections damaged and the severity. It is important to provide the clinical outcome after TBI. We are studying Median nerve Somatosensory Evoked Potentials in acute and subacute phases after TBI to predict clinical outcome in the recovery after TBI. To study Median nerve Somatosensory Evoked Potentials in patients with Traumatic Brain Injury within 1 month and at 3 months after the traumatic event. The study was conducted in the Department of Physical Medicine and Rehabilitation of Christian Medical College, Vellore. The study was approved by the Institutional Review Board of the Institution. Twenty one patients, 16 males (76.2%) and 5 females (23.8%) were included in the study. The mean age of the patients was 33.4 years (range: 9 years to 60 years). The mean duration of trauma was 19.33 days (range: 6‐30 days, SD: 6.12). 10 patients had grade I, 8 patients had grade II and 3 patients had grade III initial Median SSEPs. 3 months after TBI, 11 patients had grade I, 6 patients had grade II and 4 patients had grade III Median SSEPs. Of the 8 patients with grade II initial SSEPs the second SSEP was grade I in two patients, grade III in one patient and grade II in 5 patients. Of the 3 patients with grade III initial SSEP, second SSEP was grade III in 2 patients whereas in 1 patient the SSEP improved to grade II. Median SSEPs improved in 27% and worsened in 11% patients. Median SSEPs with in one month of the traumatic brain injury co‐relate significantly with short term outcomes (DRS, RLA, MBI, GOS and MMSE) 3 months after the injury(p<0.005). Median SSEPs at 3 months also had statistically significant co‐relation with outcomes (DRS, RLA, MBIp< 0.005).
How to cite this article:
Swapna Patil and Raji Thomas. Study of Median Nerve Somatosensory Evoked Potentials in Severe Traumatic Brain Injury.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.216.222
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.216.222