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Indian Journal of Neurotrauma 2013; 10(01): 38-42
DOI: 10.1016/j.ijnt.2013.05.006
Review Article
Thieme Medical and Scientific Publishers Private Ltd.

A critical appraisal of neurotrauma and neurocritical care perspectives of traumatic brain injuries in Indian scenario

Amit Agrawal
Subject Editor:
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Publication History

19 February 2013

12 May 2013

Publication Date:
06 April 2017 (online)

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Abstract

India and other developing countries face the major challenges of prevention, pre-hospital care, and rehabilitation in their rapidly changing environments to reduce the burden of traumatic brain injuries. Over the years the number of Neurosurgery centers has increased from the original three centers at Vellore, Chennai and Mumbai to many adequately equipped units, distributed in different corners of the country. The development of Neurosurgery in India has almost paralleled the achievements of the country and is now at par with the best of such services available in the world. This study focuses principally in the incidence, causation, management and impact of head injury and discusses the role of emergency physicians and neurosurgeons upcoming neuro-trauma and neuro-critical care facilities for a better outcome.

Keywords

Rural India - Traumatic brain injury - Neurotrauma - Neurocritical care
 

  • References

  • 1 Bhagwati S.N.. Paediatric neurosurgery in India. Child's Nerv Syst 1999; 15: 802-806
    PubMedSearch in Google Scholar
  • 2 Gass H.. Emergence of neurosurgery in India. J Neurol Sci 1967; 05: 71-78
    CrossrefPubMedSearch in Google Scholar
  • 3 Karapurkar A.P., Pandya S.K.. Neurosurgery in India. Neurosur Rev 1983; 06: 85-92
    PubMedSearch in Google Scholar
  • 4 Nadkarni T.D., Goel A., Pandya S.K.. Neurosurgery in India. J Postgrad Med 2002; 48: 332-335
    PubMedSearch in Google Scholar
  • 5 Ramamurthi B.. Perspectives in international neurosurgery: neurosurgery in India. Neurosurgery 1982; 10: 530-531
    CrossrefPubMedSearch in Google Scholar
  • 6 Ramamurthi B., Lee K.C., Fukushima T., Takakura K., Petty P.G., Weinstein P.R.. International neurosurgery: neurosurgical training and practice in India, Korea, Japan, and Australasia. Neurosurgery 1989; 25: 1003-1008
    CrossrefPubMedSearch in Google Scholar
  • 7 Saunders M.. Postgraduate training in neurology and neurosurgery at Vellore, India. Br J Med Educ 1969; 03: 133-134
    PubMedSearch in Google Scholar
  • 8 Pathak A, Desania N, Verma R. Profile of Road Traffic Accidents & Head Injury in Jaipur (Rajasthan); 2008.
    PubMed
  • 9 Gururaj G.. Road traffic deaths, injuries and disabilities in India: current scenario. National Med J India 2008; 21: 14-20
    PubMedSearch in Google Scholar
  • 10 Ramanujam P., Aschkenasy M.. Identifying the need for pre-hospital and emergency care in the developing world: a case study in Chennai, India. JAPI 2007; 55
    PubMedSearch in Google Scholar
  • 11 Peden M., Scurfield R., Sleet D.. et al World Report on Road Traffic Injury Prevention. World Health Organization; Geneva: 2004
    Search in Google Scholar
  • 12 Basavaraj K., Venkatesh H.K., Umamaheswara Rao G.S.. A prospective study of demography and outcome in operated head injuries. Ind J Anaesth 2005; 49: 24-30
    PubMedSearch in Google Scholar
  • 13 Mahapatra A.K., Agrawal D., Kumar R.. Minor head injury. Indian J Neurotrauma 2008; 05: 59-62
    PubMedSearch in Google Scholar
  • 14 Gururaj G.. Epidemiology of traumatic brain injuries: Indian scenario. Neurol Res 2002; 24: 24-28
    CrossrefPubMedSearch in Google Scholar
  • 15 Bhole A.M., Potode R., Agrawal A., Joharapurkar S.. Demographic profile, clinical presentation, management options in cranio cerebral trauma: an experience of a rural hospital in Central India. Pakistan J Med Sci 2007; 23: 724
    PubMedSearch in Google Scholar
  • 16 Dandona R., Mishra A.. Deaths due to road traffic crashes in Hyderabad city in India: need for strengthening surveillance. National Med J India 2004; 17: 74-79
    PubMedSearch in Google Scholar
  • 17 Rekha A., Choudhary M., Selvakumar K.. Head injuries a study from Sri Ramachandra University, India. Ind J Trauma Anaesth Crit Care 2008; 09: 723
    PubMedSearch in Google Scholar
  • 18 Organization WH. The World Health Report 1999: Making a Difference. 1999; 26 As of July 2010
    PubMedSearch in Google Scholar
  • 19 Dash H.H.. Prehospital care of head injured patients. Neurol India 2008; 56: 415-419
    CrossrefPubMedSearch in Google Scholar
  • 20 Gururaj G.. The effect of alcohol on incidence, pattern, severity and outcome from traumatic brain injury. J Indian Med Assoc 2004; 102: 157-160 163
    PubMedSearch in Google Scholar
  • 21 Gururaj G., Kolluri S.. Problems ad determinants of traumatic brain injuries in India. Nimhans J 1999; 17: 407-422
    PubMedSearch in Google Scholar
  • 22 Sabhesan S., Natarajan M.. Alcohol abuse and recovery after head injury. Indian J Psychiatry 1987; 29: 143-148
    PubMedSearch in Google Scholar
  • 23 Kumar R., Mahapatra A.K.. The changing “epidemiology” of pediatric head injury and its impact on the daily clinical practice. Child's Nerv Sys 2009; 25: 813-823
    PubMedSearch in Google Scholar
  • 24 Miller J.D.. Minor, moderate and severe head injury. Neurosurg Rev 1986; 09: 135-139
    CrossrefPubMedSearch in Google Scholar
  • 25 Watson M.R., Fenton G.W., McClelland R.J., Lumsden J., Headley M., Rutherford W.H.. The post-concussional state: neurophysiological aspects. British J Psychiatry 1995; 167: 514-521
    CrossrefPubMedSearch in Google Scholar
  • 26 Puvanachandra P., Hyder A.. The burden of traumatic brain injury in Asia: a call for research. Pak J Neurol Sci 2009; 04: 27-32
    PubMedSearch in Google Scholar
  • 27 Bhatoe H.S.. Brain injury and prehospital care: reachable goals in India. Indian J Neurotrauma 2009; 06: 5-10
    PubMedSearch in Google Scholar
  • 28 Mock C.. Improving prehospital trauma care in rural areas of low-income countries. J Trauma 2003; 54: 1197-1198
    PubMedSearch in Google Scholar
  • 29 Fitzgerald M., Dewan Y., O'Reilly G., Mathew J., McKenna C.. India and the management of road crashes: towards a national trauma system. Indian J Surg 2006; 68: 226-232
    PubMedSearch in Google Scholar
  • 30 PoSaw L.L., Aggarwal P., Bernstein S.L.. Emergency medicine in the New Delhi area, India. Annals of Emerg Med 1998; 32: 609-615
    PubMedSearch in Google Scholar
  • 31 Agrawal A., Galwankar S., Kapil V.. et al Epidemiology and clinical characteristics of traumatic brain injuries in a rural setting in Maharashtra, India. 2007–2009. Int J Crit Illn Inj Sci 2012; 02: 167-171
    CrossrefPubMedSearch in Google Scholar
  • 32 Adelson P.D., Bratton S.L., Carney N.A.. et al Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Chapter 19. The role of anti-seizure prophylaxis following severe pediatric traumatic brain injury. Pediatr Crit Care Medx 2003; 04: S72-S75
    PubMedSearch in Google Scholar
  • 33 Khilnani P.. Guidelines for acute medical management of severe traumatic brain injury in infants and children. Indian J Crit Care Med 2003; 07: 285
    PubMedSearch in Google Scholar
  • 34 Gupta A., Gupta E.. Challenges in organizing trauma care systems in India. Indian J Community Med 2009; 34: 75
    CrossrefPubMedSearch in Google Scholar
  • 35 Joshipura M., Shah H., Patel P., Divatia P., Desai P.. Trauma care systems in India. Injury 2003; 34: 686-692
    CrossrefPubMedSearch in Google Scholar
  • 36 Agrawal A., Joharapurkar S.R., Golhar K.B., Shahapurkar V.V., Dwivedi S., Meghe A.. Head injuries in a rural setup: challenges and potential solutions. J Emerg Trauma Shock 2008; 01: 129-130
    PubMedSearch in Google Scholar
  • 37 Agrawal A., Kakani A., Baisakhiya N., Galwankar S., Dwivedi S., Pal R.. Developing traumatic brain injury data bank: prospective study to understand the pattern of documentation and presentation. Indian J Neurotrauma 2012; 09: 87-92
    PubMedSearch in Google Scholar
  • 38 Mock C.. Guidelines for Essential Trauma Care. WHO; 2004
    Search in Google Scholar
  • 39 Das A.K., Gupta S.B., Joshi S.R.. et al White paper on academic emergency medicine in India: INDO-US Joint Working Group (JWG). J Assoc Physicians India 2008; 56: 789-798
    PubMedSearch in Google Scholar
  • 40 Joshipura M., Shah H., Patel P., Divatia P.. Trauma care systems in India – an overview. Indian J Crit Care Med 2004; 08: 93
    PubMedSearch in Google Scholar
  • 41 Ramesh V.G.. Whither neurosurgical teaching?. Neurol India 2006; 54: 317-318
    PubMedSearch in Google Scholar
  • 42 Chua K.S., Ng Y.S., Yap S.G., Bok C.W.. A Brief Review of Traumatic Brain Injury Rehabilitation. 2007. vol. 36 Annals of the Academy of Medicine; Singapore: 31-42
    Search in Google Scholar
  • 43 Yen H.L., Wong J.T.. Rehabilitation for Traumatic Brain Injury in Children and Adolescents. 2007. vol. 36 Annals of the Academy of Medicine; Singapore: 62-66
    Search in Google Scholar
  • 44 Chua K.S., Earnest A., Chiong Y., Kong K.H.. Characteristics and correlates of rehabilitation charges during inpatient traumatic brain injury rehabilitation in Singapore. J Rehabil Med 2010; 42: 27-34
    CrossrefPubMedSearch in Google Scholar
  • 45 McGuffie A.C., Graham C.A., Beard D.. et al Scottish urban versus rural trauma outcome study. J Trauma 2005; 59: 632-638
    PubMedSearch in Google Scholar
  • 46 Mullins R.J., Mann N.C., Hedges J.R., Worrall W., Jurkovich G.J.. Preferential benefit of implementation of a statewide trauma system in one of two adjacent states. J Trauma 1998; 44: 609-616 discussion 617
    CrossrefPubMedSearch in Google Scholar
  • 47 Rogers F.B., Osler T.M., Shackford S.R., Martin F., Healey M., Pilcher D.. Population-based study of hospital trauma care in a rural state without a formal trauma system. J Trauma 2001; 50: 409-413 discussion 414
    CrossrefPubMedSearch in Google Scholar
  • 48 Clay Mann N., Mullins R.J., Hedges J.R., Rowland D., Arthur M., Zechnich A.D.. Mortality among seriously injured patients treated in remote rural trauma centers before and after implementation of a statewide trauma system. Med Care 2001; 39: 643-653
    CrossrefPubMedSearch in Google Scholar
  • 49 Raja I.A., Raja A.I.. Role of Japan in the future of neurosurgery in Asia. Neurol Med Chir 2005; 45: 433-437
    CrossrefPubMedSearch in Google Scholar