MEDICAL PROBLEMS ENCOUNTERED DURING REHABILITATION OF PATIENTS WITH HEAD-INJURY

  • 1 January 1985
    • journal article
    • research article
    • Vol. 66  (1) , 25-29
Abstract
In the past few years patients having severe head trauma have survived in growing numbers, and it is likely that they will be more frequently seen on rehabilitation units. They display, in addition to direct structural damage, medical and neurologic problems which may be encountered during their rehabilitative phase. Those medical and neurologic problems of consequence and their frequency of occurrence within a population of head injured patients are described. A consecutive series of 180 patients with head trauma undergoing rehabilitation were therefore reviewed, and the type and frequency of medical problems were noted. Neurologic, gastrointestinal, genitourinary, respiratory, cardiovascular, skin, musculoskeletal and endocrinologic problems were encountered most frequently. Of these, ventricular dilatation, posttraumatic seizures, abnormal liver function tests, hypertension, thrombophlebitis, respiratory infections, periarticular heterotopic ossification and pituitary-hypothalamic dysfunction are discussed in terms of their morbidity, clinical significance and therapeutic approach. In many instances, these problems were not identified in the acute care hospital. Awareness of these potential conditions during the rehabilitation period can result in early detection and treatment.